MEDICARE: DR. GINGER LEE MORRISSEY PT, DPT

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	225100000X	Physical Therapist	2727	OK
2	225100000X	Physical Therapist	5699	SC
3	225100000X	Physical Therapist	11551	NC

General Provider Information

NPI Number	:	1750301297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GINGER LEE MORRISSEY PT, DPT

Provider Business Mailing Address
First Line	:	5821 FAIRVIEW RD STE 215
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3649
Country	:	US
Telephone Number	:	704-612-6797
Fax Number	:	980-422-0089

Provider Business Practice Location Address
First Line	:	5821 FAIRVIEW RD STE 215
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3649
Country	:	US
Telephone Number	:	704-612-6797
Fax Number	:	980-422-0089

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	04/03/2024

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