Healthcare Provider Details

I. General information

NPI: 1366141061
Provider Name (Legal Business Name): MORGAN CHRISTINE KING OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 TRAVIS BLVD STE 200
FAIRFIELD CA
94533-4800
US

IV. Provider business mailing address

520 MCKNIGHT LN
VACAVILLE CA
95688-4603
US

V. Phone/Fax

Practice location:
  • Phone: 833-783-2229
  • Fax:
Mailing address:
  • Phone: 219-671-8908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2025-0142
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number24710
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number125788
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: