Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT006497 | OH |
N | 225XE0001X | Environmental Modification | OT006497 | OH |
N | 2251E1200X | Ergonomics | OT006497 | OH |
N | 225XE1200X | Ergonomics | OT006497 | OH |
Y | 225XH1200X | Occupational Therapist - Hand | OT006497 | OH |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT006497 | OH |
NPI | 1891266672 |
---|---|
Provider Name | Shawn Dale Morgan |
First Address | West Chester, OH 45069 |
Second Address | Centerville, OH 45459-4044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2018 |
Last Update Date | 05/12/2018 |