Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | 5202001946 | MI |
NPI | 1023642972 |
---|---|
Provider Name | Sherrie Lynn Morgan |
First Address | Cadillac, MI 49601-1418 |
Second Address | Cadillac, MI 49601-2620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2020 |
Last Update Date | 05/03/2020 |