Healthcare Provider Details

I. General information

NPI: 1891435145
Provider Name (Legal Business Name): EMILY MORGAN MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41914 50TH ST W
QUARTZ HILL CA
93536-2963
US

IV. Provider business mailing address

44840 VALLEY CENTRAL WAY STE 102
LANCASTER CA
93536-7261
US

V. Phone/Fax

Practice location:
  • Phone: 661-722-0716
  • Fax:
Mailing address:
  • Phone: 661-592-0701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number23506
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: