MEDICARE: HOLLIE MORRIS OTR

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	117520	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	117520	OTHER	TX	OCCUPATIONAL THERAPIST

General Provider Information

NPI Number	:	1689026858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLIE MORRIS OTR

Provider Business Mailing Address
First Line	:	1101 OHIO DR STE 105
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5331
Country	:	US
Telephone Number	:	972-599-9594
Fax Number	:	972-599-9364

Provider Business Practice Location Address
First Line	:	1101 OHIO DR STE 105
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5331
Country	:	US
Telephone Number	:	972-599-9594
Fax Number	:	972-599-9364

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

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	07/12/2016

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Directions to “ HOLLIE MORRIS OTR” Practice Location

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