Provider Demographics
NPI:1033766381
Name:MURATORE, MARIO (DPT)
Entity Type:Individual
Prefix:
First Name:MARIO
Middle Name:
Last Name:MURATORE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33551 ZINNIA LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2481
Mailing Address - Country:US
Mailing Address - Phone:951-591-0729
Mailing Address - Fax:951-928-1971
Practice Address - Street 1:33551 ZINNIA LN
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2481
Practice Address - Country:US
Practice Address - Phone:951-591-0729
Practice Address - Fax:951-928-1971
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT297006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist