Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTH-008340 | AZ |
NPI | 1720677032 |
---|---|
Provider Name | Peyton Michele Morris |
First Address | Chandler, AZ 85225-7122 |
Second Address | Chandler, AZ 85225-7122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2021 |
Last Update Date | 12/01/2021 |