Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1483 |
NPI | 1538102546 |
---|---|
Provider Name | Mr. Arthur J Morris |
First Address | Eagle Point, OR 97524-5402 |
Second Address | White City, OR 97503-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |