Healthcare Provider Details

I. General information

NPI: 1770315582
Provider Name (Legal Business Name): MORGAN PLOWMAN COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 ACQUINTON CHURCH RD
KING WILLIAM VA
23086-2927
US

IV. Provider business mailing address

9130 STEPHENS MANOR DR
MECHANICSVILLE VA
23116-5165
US

V. Phone/Fax

Practice location:
  • Phone: 804-769-3434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: