Healthcare Provider Details

I. General information

NPI: 1396737920
Provider Name (Legal Business Name): DANIEL LEE MORGAN DPT ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 PINEY FOREST RD SUITE G
DANVILLE VA
24540-4154
US

IV. Provider business mailing address

441 PINEY FOREST RD SUITE G
DANVILLE VA
24540-4154
US

V. Phone/Fax

Practice location:
  • Phone: 434-793-0700
  • Fax: 434-793-9315
Mailing address:
  • Phone: 434-793-0700
  • Fax: 434-793-9315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8082
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305006564
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: