Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT.0004022 | CO |
NPI | 1003275868 |
---|---|
Provider Name | Heather Morton |
First Address | Colorado Springs, CO 80910-3126 |
Second Address | Colorado Springs, CO 80910-3126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2016 |
Last Update Date | 16/09/2021 |