Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1003335845 |
---|---|
Provider Name | Annette Dorothea Morton |
First Address | Tulsa, OK 74133-5582 |
Second Address | Tulsa, OK 74133-5582 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2017 |
Last Update Date | 10/08/2021 |