NPI Code Details Logo

NPI 1114124559

NPI 1114124559 : DORIAN ELISE MORRISON OT : CLEARWATER, NE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114124559
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DORIAN ELISE MORRISON OT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/29/2007
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    85824 519TH AVE 
-----------------------------------------------------
    City                 |    CLEARWATER
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68726-5239
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-887-5335
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    85826 519TH AVE 
-----------------------------------------------------
    City                 |    CLEARWATER
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68726-5239
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-887-4364
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    731
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.