Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3157 | SC |
NPI | 1053325241 |
---|---|
Provider Name | Nancy M Morris |
First Address | Johns Island, SC 29455-8177 |
Second Address | Johns Island, SC 29455-8177 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 25/10/2012 |