Provider Demographics
NPI:1932427689
Name:MORELLI-WEISS, MICHELE ANNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ANNE
Last Name:MORELLI-WEISS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 S MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-1537
Mailing Address - Country:US
Mailing Address - Phone:201-444-8744
Mailing Address - Fax:201-612-6667
Practice Address - Street 1:391 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-1537
Practice Address - Country:US
Practice Address - Phone:201-444-8744
Practice Address - Fax:201-612-6667
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00307900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist