Healthcare Provider Details

I. General information

NPI: 1568981595
Provider Name (Legal Business Name): DANIEL DAVID MORRELL OTD, OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 09/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 GRAVES MILL RD
LYNCHBURG VA
24502-5174
US

IV. Provider business mailing address

2600 COMPASS RD
GLENVIEW IL
60026-8001
US

V. Phone/Fax

Practice location:
  • Phone: 434-316-0207
  • Fax: 434-316-0208
Mailing address:
  • Phone: 877-787-3430
  • Fax: 847-441-0734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119003128
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: