Individual
TRACY MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
570 E GARDEN RD, VINELAND, NJ 08360-1721
(856) 691-2387
Mailing address
570 E GARDEN RD, VINELAND, NJ 08360-1721
(856) 691-2387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00074000
NJ
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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