Individual
GARY MORRISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 DEAL RD APT 4, OCEAN, NJ 07712-3453
(732) 763-7062
Mailing address
902 DEAL RD APT 4, OCEAN, NJ 07712-3453
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023
—
NJ
Enumeration date
12/10/2020
Last updated
12/10/2020
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