Provider Demographics
NPI:1760678247
Name:MORCOS, ANDREW (PT,DPT,SCS,OCS,ATC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:MORCOS
Suffix:
Gender:M
Credentials:PT,DPT,SCS,OCS,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 E PAYSON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2221
Mailing Address - Country:US
Mailing Address - Phone:626-825-3739
Mailing Address - Fax:
Practice Address - Street 1:359 E PAYSON ST
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2221
Practice Address - Country:US
Practice Address - Phone:626-825-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA339972251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic