Provider Demographics
NPI:1336205301
Name:MORRIS, ALAN F (PT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:F
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:51 HILLSIDE TER
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3420
Mailing Address - Country:US
Mailing Address - Phone:732-493-3376
Mailing Address - Fax:732-918-4848
Practice Address - Street 1:802 W PARK AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-8527
Practice Address - Country:US
Practice Address - Phone:732-918-4848
Practice Address - Fax:732-918-4835
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00597500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist