Doctor Name: | MR. JOHN L MORAN |
NPI Number: | 1164459855 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 06872 |
Business Practice Address: | 2731 Napoleon Ave New Orleans, LA - 701156913 |
Business Phone Number: | 5048976351 |
Business Fax Number: | 5048997317 |
Mailing Address: | 2731 Napoleon Ave, NEW ORLEANS |
State: | LA |
Postal Code: | 701156913 |
Phone Number: | 5048976351 |
Fax Number: | 5048997317 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 06872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |