Provider Demographics
NPI:1780850024
Name:CERUELOS-MORTON, JULIETA C
Entity Type:Individual
Prefix:MRS
First Name:JULIETA
Middle Name:C
Last Name:CERUELOS-MORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JULIETA
Other - Middle Name:C
Other - Last Name:CERUELOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:509 W GANNON AVE
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-2509
Mailing Address - Country:US
Mailing Address - Phone:919-269-9621
Mailing Address - Fax:919-269-5703
Practice Address - Street 1:509 W GANNON AVE
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2509
Practice Address - Country:US
Practice Address - Phone:919-269-9621
Practice Address - Fax:919-269-5703
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3352174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist