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NPI Code Detail

MEDICARE: MONICA MORELAND PT

MEDICARE:   MONICA  MORELAND  PT
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 Therapist0595NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00032540OTHERNVRAILROAD MEDICARE PIN

General Provider Information

NPI Number : 1124209606
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MORELAND PT
Provider Business Mailing Address
First Line : 2225 N MCCARRAN BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89431-3365
Country : US
Telephone Number : 775-359-1199
Fax Number : 775-359-1195
Provider Business Practice Location Address
First Line : 2225 N MCCARRAN BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89431-3365
Country : US
Telephone Number : 775-359-1199
Fax Number : 775-359-1195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2007
Last Update Date : 03/08/2023

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Directions to “ MONICA MORELAND PT” Practice Location

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