Organization
HOME PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MORALES PT (SOLE PROPRIETOR)
(410) 531-7558
Entity
Organization
Contact information
Practice address
3130 EVERGREEN WAY, ELLICOTT CITY, MD 21042-1024
(410) 531-7558
(410) 531-7558
Mailing address
3130 EVERGREEN WAY, ELLICOTT CITY, MD 21042-1024
(410) 531-7558
(410) 531-7558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15420
MD
225100000X
Physical Therapist
Primary
16690
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KAF3
BCBS
MD
Enumeration date
02/20/2007
Last updated
07/16/2008
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