Healthcare Provider Details

I. General information

NPI: 1437793973
Provider Name (Legal Business Name): MORGAN NOECKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 E CEDARVILLE RD
POTTSTOWN PA
19465-7614
US

IV. Provider business mailing address

524 E CEDARVILLE RD
POTTSTOWN PA
19465-7614
US

V. Phone/Fax

Practice location:
  • Phone: 636-541-7763
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC016647
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: