Healthcare Provider Details

I. General information

NPI: 1235195983
Provider Name (Legal Business Name): JEFFREY DALE MORLEY MSPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 W CHESTER PIKE
UPPER DARBY PA
19082-1913
US

IV. Provider business mailing address

PO BOX 411503
BOSTON MA
02241-1503
US

V. Phone/Fax

Practice location:
  • Phone: 610-924-6100
  • Fax:
Mailing address:
  • Phone: 914-294-4050
  • Fax: 631-760-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0014911
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT015648
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: