Provider Demographics
NPI:1336826122
Name:MORALES, CRISTIAN (DPT)
Entity type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:
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 1:9831 ARROWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-2581
Mailing Address - Country:US
Mailing Address - Phone:703-955-6558
Mailing Address - Fax:
Practice Address - Street 1:9685 LIBERIA AVE STE 106
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-1740
Practice Address - Country:US
Practice Address - Phone:571-535-2342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist