MEDICARE: MORGAN GRAF OTD

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

General Provider Information

NPI Number	:	1750941514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN GRAF OTD

Provider Business Mailing Address
First Line	:	9320 ELM ST
Second Line	:
City	:	WISCONSIN RAPIDS
State	:	WI
Zip	:	54494-8616
Country	:	US
Telephone Number	:	715-741-0306
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 TWO MILE AVE
Second Line	:
City	:	WISCONSIN RAPIDS
State	:	WI
Zip	:	54494-6560
Country	:	US
Telephone Number	:	715-424-6793
Fax Number	:

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

Provider Enumeration Date	:	06/14/2019
Last Update Date	:	03/24/2026

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