MEDICARE: MORGAN CHRISTINE KING 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	225X00000X	Occupational Therapist	OT-2025-0142	NM
2	225X00000X	Occupational Therapist	24710	CA
3	225X00000X	Occupational Therapist	125788	TX

General Provider Information

NPI Number	:	1366141061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN CHRISTINE KING OTR/L

Provider Business Mailing Address
First Line	:	520 MCKNIGHT LN
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688-4603
Country	:	US
Telephone Number	:	219-671-8908
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 TRAVIS BLVD STE 200
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-4800
Country	:	US
Telephone Number	:	833-783-2229
Fax Number	:

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

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	06/11/2026

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