MEDICARE: MORGAN FARRELL OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	08108	MD

General Provider Information

NPI Number	:	1073008884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN FARRELL OTR/L

Provider Business Mailing Address
First Line	:	3801 GEORGIA AVE NW APT 505
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-5899
Country	:	US
Telephone Number	:	414-339-1575
Fax Number	:

Provider Business Practice Location Address
First Line	:	831 UNIVERSITY BLVD E STE 14
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2921
Country	:	US
Telephone Number	:	301-891-4880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	06/25/2018

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