Provider Demographics
NPI:1306069166
Name:MORALES, MARIA KATRINA (PT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:KATRINA
Last Name:MORALES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MATAWAN GREEN LN
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3581
Mailing Address - Country:US
Mailing Address - Phone:732-970-6335
Mailing Address - Fax:
Practice Address - Street 1:5 MATAWAN GREEN LN
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3581
Practice Address - Country:US
Practice Address - Phone:732-823-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01121700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist