Healthcare Provider Details

I. General information

NPI: 1821580283
Provider Name (Legal Business Name): PAMELA JULIA MORRIS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 06/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 ELLIS AVE
NORWOOD MA
02062-3946
US

IV. Provider business mailing address

16 LARSON FARM DR
NORTON MA
02766-1128
US

V. Phone/Fax

Practice location:
  • Phone: 781-762-6880
  • Fax: 781-769-0482
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4413
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: