Provider Demographics
NPI:1437844735
Name:MALUOTOGA, MORIAH F
Entity Type:Individual
Prefix:
First Name:MORIAH
Middle Name:F
Last Name:MALUOTOGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 LEADERSHIP PKWY UNIT 203
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2252
Mailing Address - Country:US
Mailing Address - Phone:808-754-1418
Mailing Address - Fax:
Practice Address - Street 1:3035 LEADERSHIP PKWY UNIT 203
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2252
Practice Address - Country:US
Practice Address - Phone:808-754-1418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist