Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT21461 | FL |
NPI | 1013670454 |
---|---|
Provider Name | Laura Lynn Morse |
First Address | Palm Coast, FL 32164-8454 |
Second Address | Palm Coast, FL 32164-8454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2021 |
Last Update Date | 21/10/2021 |