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NPI Code Detail

MEDICARE: LAURA MORIARTY

MEDICARE:   LAURA  MORIARTY
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 Therapist40QA02069700NJ
2225100000XPhysical Therapist038635NY

General Provider Information

NPI Number : 1881136968
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MORIARTY
Provider Business Mailing Address
First Line : 647 COLEMAN PL
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-4312
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 647 COLEMAN PL
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-4312
Country : US
Telephone Number : 609-694-2198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2016
Last Update Date : 03/12/2026

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Directions to “ LAURA MORIARTY ” Practice Location

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