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John Robert Morales, CP,BOCO
Prosthetic/Orthotic Supplier in Santa Rosa, California
NPI 1326166018

John Robert Morales is a Prosthetic/Orthotic Supplier based in Santa Rosa, CA. John Robert Morales practices in Santa Rosa, CA and has the professional credentials of CP,BOCO. The NPI Number for John Robert Morales is 1326166018 and holds a License No. (California).

The current practice location address for John Robert Morales is 65 Montgomery Dr, Santa Rosa, CA and can be reached out via phone at 707-544-5347 and via fax at 707-544-5349.

Location: 65 Montgomery Dr, Santa Rosa, CA, 95404-6616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326166018
Provider Name
John Robert Morales
Credential
CP,BOCO
Provider Entity Type
Individual
Gender
Male
Address
65 Montgomery Dr, Santa Rosa, CA, 95404-6616
Phone Number
707-544-5347
Fax Number
707-544-5349
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
XB0013930 05 CA
68-0179199 01 OTHER
institution
Provider Business Practice Location Address Details
Address
65 Montgomery Dr
City
Santa Rosa
State
California
Zip
95404-6616
Phone Number
707-544-5347
Fax Number
707-544-5349
person
Provider Business Mailing Address Details
Address
65 Montgomery Dr
City
Santa Rosa
State
California
Zip
95404-6616
Phone Number
707-544-5347
Fax Number
707-544-5349
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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