Provider Demographics
NPI:1346382660
Name:MORANTE, DEBRAH A (ATC)
Entity Type:Individual
Prefix:
First Name:DEBRAH
Middle Name:A
Last Name:MORANTE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118A WEST CAMP WALK
Mailing Address - Street 2:PO BOX 1175
Mailing Address - City:ISLAND HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08732-1175
Mailing Address - Country:US
Mailing Address - Phone:732-270-9769
Mailing Address - Fax:732-286-6379
Practice Address - Street 1:101 HYERS ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7429
Practice Address - Country:US
Practice Address - Phone:732-505-5752
Practice Address - Fax:732-341-1321
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000029002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer