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NPI Code Detail

MEDICARE: MORGAN ELIZABETH WILSON OTD, OTR/L

MEDICARE: MORGAN ELIZABETH WILSON OTD, OTR/L
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
1208100000XPhysical Medicine & Rehabilitation PhysicianOT24711CA

General Provider Information

NPI Number : 1326652306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN ELIZABETH WILSON OTD, OTR/L
Provider Business Mailing Address
First Line : 5533 HOLLYWOOD BLVD APT 524
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-8048
Country : US
Telephone Number : 412-715-4648
Fax Number :
Provider Business Practice Location Address
First Line : 13400 SHERMAN WAY
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-4415
Country : US
Telephone Number : 818-983-0103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2020
Last Update Date : 05/30/2024

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