| Doctor Name: | MRS. MARIA I MORENO |
| NPI Number: | 1053455337 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 4956 |
| Business Practice Address: | 8 Research Pkwy Wallingford, CT - 064921929 |
| Business Phone Number: | 2032941998 |
| Business Fax Number: | 2032941189 |
| Mailing Address: | 8 Research Pkwy, WALLINGFORD |
| State: | CT |
| Postal Code: | 064921929 |
| Phone Number: | 2032941998 |
| Fax Number: | 2032941189 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 4956 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |