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Contact Information

RICHARD MORENO JR
6509 W ACAPULCO LN
GLENDALE, AZ85306
 Phone: 602-421-8231
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for RICHARD MORENO JR · (Male)

NPI Number 1649667635
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2015
Last updated 04/17/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11463A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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