Provider Demographics
NPI:1447638846
Name:MORALES, ADHARA (OTR)
Entity type:Individual
Prefix:MS
First Name:ADHARA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 W DOUGLAS ST
Mailing Address - Street 2:APT D
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-2272
Mailing Address - Country:US
Mailing Address - Phone:956-639-6459
Mailing Address - Fax:
Practice Address - Street 1:3201 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3305
Practice Address - Country:US
Practice Address - Phone:956-631-5542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116846225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist