Healthcare Provider Details

I. General information

NPI: 1689016024
Provider Name (Legal Business Name): JENNIFER LYNN MORGAN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 FRANKLIN FARM LANE
CHAMBERSBURG PA
17202
US

IV. Provider business mailing address

142 FRANKLIN FARM LANE
CHAMBERSBURG PA
17202
US

V. Phone/Fax

Practice location:
  • Phone: 717-263-5147
  • Fax: 717-263-3454
Mailing address:
  • Phone: 717-263-5147
  • Fax: 717-263-3454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC009357
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: