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NPI Code Detail

MEDICARE: MORGAN SONDERGELD OTD, OTR/L

MEDICARE: MORGAN SONDERGELD OTD, 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
1225X00000XOccupational Therapist278620KY

General Provider Information

NPI Number : 1689309270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN SONDERGELD OTD, OTR/L
Provider Business Mailing Address
First Line : 4502 WESTPORT WOODS LN UNIT 101
Second Line :
City : LOUISVILLE
State : KY
Zip : 40245-2738
Country : US
Telephone Number : 502-457-0730
Fax Number :
Provider Business Practice Location Address
First Line : 1901 COMMONWEALTH CT STE B
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-2355
Country : US
Telephone Number : 502-458-9978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2022
Last Update Date : 07/19/2022

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