| Doctor Name: | KRISTLE MARIE MORAHAN |
| NPI Number: | 1689961138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 030306 |
| Business Practice Address: | 77 Route 112 Ste F Patchogue, NY - 117721230 |
| Business Phone Number: | 6312072370 |
| Business Fax Number: | 6317581748 |
| Mailing Address: | 23 Wenmore Ln, PORT JEFFERSON STATION |
| State: | NY |
| Postal Code: | 117762831 |
| Phone Number: | 6314730426 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2011 |
| NPI Last Update Date: | 07/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 030306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |