Individual
JUAN SEBASTIAN MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02227500
NJ
225100000X
Physical Therapist
Primary
PTL.0020245
CO
Other
Enumeration date
12/04/2023
Last updated
12/23/2024
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