MEDICARE: MORGAN LYNN ISCH M.S., 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
1	225X00000X	Occupational Therapist	5201008445	MI
2	225X00000X	Occupational Therapist	OT.0003696	CO

General Provider Information

NPI Number	:	1730523051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN LYNN ISCH M.S., OTR/L

Provider Business Mailing Address
First Line	:	7505 E PEAKVIEW AVE APT 215
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80111-6733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 PARK MEADOWS DR STE 800
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-2757
Country	:	US
Telephone Number	:	303-985-1133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2013
Last Update Date	:	04/09/2015

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