Healthcare Provider Details

I. General information

NPI: 1447964366
Provider Name (Legal Business Name): MORGAN HARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19333 W NORTH AVE
BROOKFIELD WI
53045-4132
US

IV. Provider business mailing address

19333 W NORTH AVE
BROOKFIELD WI
53045-4132
US

V. Phone/Fax

Practice location:
  • Phone: 262-785-2000
  • Fax:
Mailing address:
  • Phone: 262-785-2000
  • Fax: 262-785-2485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number9128-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: