Individual
CRISTINA J MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.019359
IL
225100000X
Physical Therapist
Primary
5501016347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01438556
RR MEDICARE
MI
Enumeration date
09/19/2012
Last updated
05/20/2015
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