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NPI Code Detail

MEDICARE: MORGAN WEAVER GILBERT

MEDICARE:   MORGAN WEAVER GILBERT
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 TherapistOT2023-032AR

General Provider Information

NPI Number : 1598538514
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN WEAVER GILBERT
Provider Business Mailing Address
First Line : 702 NORMANDY ST
Second Line :
City : MARKED TREE
State : AR
Zip : 72365-2706
Country : US
Telephone Number : 870-514-5127
Fax Number :
Provider Business Practice Location Address
First Line : 1028 N MISSOURI ST STE 5
Second Line :
City : WEST MEMPHIS
State : AR
Zip : 72301-2600
Country : US
Telephone Number : 870-733-5963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 11/01/2023

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Directions to “ MORGAN WEAVER GILBERT ” Practice Location

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