Provider Demographics
NPI:1073595369
Name:MORAN, MARIANN E (OTR CHT)
Entity Type:Individual
Prefix:MRS
First Name:MARIANN
Middle Name:E
Last Name:MORAN
Suffix:
Gender:F
Credentials:OTR CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 ROUTE 46 EAST
Mailing Address - Street 2:BUILDING #3
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4909
Mailing Address - Country:US
Mailing Address - Phone:973-334-4321
Mailing Address - Fax:973-334-1095
Practice Address - Street 1:1259 ROUTE 46 EAST
Practice Address - Street 2:BUILDING #3
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4909
Practice Address - Country:US
Practice Address - Phone:973-334-4321
Practice Address - Fax:973-334-1095
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00055300225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ621314NXZMedicare PIN