Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 109869 | TX |
Y | 225XE0001X | Environmental Modification | 109869 | TX |
N | 225XG0600X | Occupational Therapist - Gerontology | 109869 | TX |
NPI | 1861705170 |
---|---|
Provider Name | Mrs. Nicole Annette Morgan |
First Address | Sherman, TX 75092-5076 |
Second Address | Sherman, TX 75092-3769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2010 |
Last Update Date | 16/07/2010 |