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NPI Code Detail

MEDICARE: JACQUELINE MORGAN DPT

MEDICARE: JACQUELINE MORGAN DPT
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 Therapist2305210470VA

General Provider Information

NPI Number : 1386180008
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE MORGAN DPT
Provider Business Mailing Address
First Line : 121 COURTHOUSE LN
Second Line :
City : BOWLING GREEN
State : VA
Zip : 22427-9336
Country : US
Telephone Number : 804-633-1232
Fax Number :
Provider Business Practice Location Address
First Line : 121 COURTHOUSE LN
Second Line :
City : BOWLING GREEN
State : VA
Zip : 22427-9336
Country : US
Telephone Number : 804-633-1232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2017
Last Update Date : 01/19/2017

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