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NPI Code Detail

MEDICARE: MARY ANNE MORCOS MPT

MEDICARE: MARY ANNE MORCOS MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist29257CA

General Provider Information

NPI Number : 1184888042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ANNE MORCOS MPT
Provider Business Mailing Address
First Line : 3500 W. OLIVE AVE. 3RD FLOOR, SUITE 300
Second Line :
City : BURBANK
State : CA
Zip : 91505
Country : US
Telephone Number : 818-827-7166
Fax Number :
Provider Business Practice Location Address
First Line : 6080 CENTER DR FL 6
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-9205
Country : US
Telephone Number : 888-859-0145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2008
Last Update Date : 10/25/2024

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Directions to “ MARY ANNE MORCOS MPT” Practice Location

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