LISA ANN MODERA

THOUSAND OAKS, CA
NPI1588142681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: CA  295065)
Enumeration Date2018-07-31
Last Update Date2021-07-14
Business Address
LISA ANN MODERA DPT
325 ROLLING OAKS DR STE 210
THOUSAND OAKS, CA 91361-1088
Phone number: 805-446-3141
Mailing Address
LISA ANN MODERA DPT
2051 STATHAM BLVD
OXNARD, CA 93033-3901
Phone number: 805-765-4773
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