Provider Demographics
NPI:1922364876
Name:MORALES, AARON M (DPT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:MORALES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 MICHAEL RD
Mailing Address - Street 2:APT A
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-2432
Mailing Address - Country:US
Mailing Address - Phone:860-964-0028
Mailing Address - Fax:860-486-8081
Practice Address - Street 1:88 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:NIANTIC
Practice Address - State:CT
Practice Address - Zip Code:06357-3230
Practice Address - Country:US
Practice Address - Phone:860-964-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist