Individual
DR. CHRISTOPHER DEREK MORITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP, MD
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(209) 609-9523
Mailing address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4351051260
MI
235Z00000X
Speech-Language Pathologist
16532
CA
235Z00000X
Speech-Language Pathologist
8077
LA
Other
Enumeration date
04/21/2020
Last updated
05/22/2023
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