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NPI Code Detail

MEDICARE: MELISSA MORGAN OTR

MEDICARE:   MELISSA  MORGAN  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist020735-1NY

General Provider Information

NPI Number : 1235683616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MORGAN OTR
Provider Business Mailing Address
First Line : 151 N MAPLE AVE
Second Line :
City : PARK RIDGE
State : NJ
Zip : 07656-1273
Country : US
Telephone Number : 631-942-6752
Fax Number :
Provider Business Practice Location Address
First Line : 151 N MAPLE AVE
Second Line :
City : PARK RIDGE
State : NJ
Zip : 07656-1273
Country : US
Telephone Number : 631-942-6752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2016
Last Update Date : 08/15/2016

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Directions to “ MELISSA MORGAN OTR” Practice Location

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