Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1033724406 |
---|---|
Provider Name | Morgan Craig |
First Address | Spring Hill, TN 37174-6203 |
Second Address | Spring Hill, TN 37174-6203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2020 |
Last Update Date | 13/09/2020 |