Healthcare Provider Details

I. General information

NPI: 1063904720
Provider Name (Legal Business Name): NORMAN TORRES MS OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 MADISON AVE
MORRISTOWN NJ
07960-7330
US

IV. Provider business mailing address

77 MADISON AVE
MORRISTOWN NJ
07960-7330
US

V. Phone/Fax

Practice location:
  • Phone: 973-540-9800
  • Fax:
Mailing address:
  • Phone: 973-540-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number46TR00379500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: