Healthcare Provider Details

I. General information

NPI: 1023141827
Provider Name (Legal Business Name): MICHELLE D. MORGAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 N PRATT ST
COVINGTON GA
30014-2761
US

IV. Provider business mailing address

5161 N PRATT ST
COVINGTON GA
30014-2761
US

V. Phone/Fax

Practice location:
  • Phone: 225-445-4693
  • Fax:
Mailing address:
  • Phone: 225-445-4693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT008391
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberZ11696
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: