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NPI Code Detail

MEDICARE: DANIELLA MORTON PT

MEDICARE: DANIELLA MORTON PT
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
1225100000XPhysical Therapist2975NV

General Provider Information

NPI Number : 1174938252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLA MORTON PT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2223
Fax Number : 630-759-9510
Provider Business Practice Location Address
First Line : 1950 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3250
Country : US
Telephone Number : 702-735-1501
Fax Number : 702-735-1875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2014
Last Update Date : 08/07/2015

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Directions to “ DANIELLA MORTON PT” Practice Location

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