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Mirtha Moreno
Rehabilitation Practitioner in Pacoima, California
NPI 1326260878

Mirtha Moreno is a Rehabilitation Practitioner based in Sylmar, CA. Mirtha Moreno practices in Pacoima, CA. The NPI Number for Mirtha Moreno is 1326260878 and holds a License No. (California).

The current practice location address for Mirtha Moreno is 12510 Van Nuys Blvd., Pacoima, CA and can be reached out via phone at 626-395-7100.

Location: 12510 Van Nuys Blvd., Pacoima, CA, 91342-3747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326260878
Provider Name
Mirtha Moreno
Credential
Provider Entity Type
Individual
Gender
Female
Address
12510 Van Nuys Blvd., Pacoima, CA, 91342-3747
Phone Number
626-395-7100
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12510 Van Nuys Blvd.
City
Pacoima
State
California
Zip
91331
Phone Number
626-395-7100
Fax Number
person
Provider Business Mailing Address Details
Address
12510 Van Nuys Blvd.
City
Pacoima
State
California
Zip
91331
Phone Number
626-395-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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