Healthcare Provider Details

I. General information

NPI: 1528954492
Provider Name (Legal Business Name): CHLOE MAE MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 BROAD ST
JOHNSON CITY NY
13790-2106
US

IV. Provider business mailing address

7104 179TH PL NW
STANWOOD WA
98292-8921
US

V. Phone/Fax

Practice location:
  • Phone: 607-798-7117
  • Fax:
Mailing address:
  • Phone: 425-502-0705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031358
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: