Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STELLA MODERAU, PTA
ActiveSTELLA MODERAU, PTA is a Occupational Therapist healthcare provider located in LA MESA, California. NPI 1659480788 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LA MESA, CA
Registration Details
- NPI Number
- 1659480788
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (20.034843425504 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT1210 (CA)
Practice Information
- Address
-
8090 PARKWAY DRLA MESA, CA, 919422105Browse CA providers · Browse ZIP 91942
- Phone
- 6196973093
- Fax
- 6196973135
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| DIANE RUTH WALLACE | PTA | 1265642730 |
| KELLYANNE ROSE | — | 1003026311 |
| MARIE WIERZBIC | PTA | 1841400926 |
| MICHAEL PODLENSKI | PTA, ATC | 1871773200 |
| MICHELE DELA CRUZ | PTA | 1073790168 |
| MR. STEVE LA BELLA | PTA | 1205001112 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.