Provider Demographics
NPI:1700154572
Name:MOREALI, JOSHUA MARTIN (DPT)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MARTIN
Last Name:MOREALI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:841 BLOSSOM HILL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-2704
Mailing Address - Country:US
Mailing Address - Phone:408-365-8400
Mailing Address - Fax:408-365-8417
Practice Address - Street 1:841 BLOSSOM HILL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-2704
Practice Address - Country:US
Practice Address - Phone:408-365-8400
Practice Address - Fax:408-365-8417
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist