Provider Demographics
NPI:1497441323
Name:MUNOZ, MORGAN CHRISTINE (DPT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:CHRISTINE
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 25TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5070
Mailing Address - Country:US
Mailing Address - Phone:916-607-9061
Mailing Address - Fax:
Practice Address - Street 1:6700 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-4626
Practice Address - Country:US
Practice Address - Phone:916-444-3357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303851208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation