Provider Demographics
NPI:1750466629
Name:HOCK, MORGAN MARSHALL (PT)
Entity Type:Individual
Prefix:MR
First Name:MORGAN
Middle Name:MARSHALL
Last Name:HOCK
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 1:381 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5011
Mailing Address - Country:US
Mailing Address - Phone:973-758-1501
Mailing Address - Fax:973-758-1507
Practice Address - Street 1:381 WALNUT ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5011
Practice Address - Country:US
Practice Address - Phone:973-758-1501
Practice Address - Fax:973-758-1507
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist