Provider Demographics
NPI:1609835941
Name:MORALES, JOSEPH CHUA (PT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHUA
Last Name:MORALES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MATAWAN GREEN LN
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3581
Mailing Address - Country:US
Mailing Address - Phone:732-970-6335
Mailing Address - Fax:732-970-6335
Practice Address - Street 1:5 MATAWAN GREEN LN
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3581
Practice Address - Country:US
Practice Address - Phone:732-970-6335
Practice Address - Fax:732-970-6335
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01093700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist