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NPI Code Detail

MEDICARE: LEIKEN NICOLE MORGAN OT

MEDICARE: LEIKEN NICOLE MORGAN OT
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
1225X00000XOccupational TherapistOTR3443AR

General Provider Information

NPI Number : 1477969822
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIKEN NICOLE MORGAN OT
Provider Business Mailing Address
First Line : 301 N SIDNEY AVE
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-4383
Country : US
Telephone Number : 479-890-5494
Fax Number :
Provider Business Practice Location Address
First Line : 301 N SIDNEY AVE
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-4383
Country : US
Telephone Number : 479-890-5494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2014
Last Update Date : 10/16/2020

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Directions to “ LEIKEN NICOLE MORGAN OT” Practice Location

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