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NPI Code Detail

MEDICARE: MORGAN WOLF

MEDICARE: MORGAN WOLF
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 Therapist3691AL

General Provider Information

NPI Number : 1952731937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN WOLF
Provider Business Mailing Address
First Line : 1243 STEGER RD
Second Line :
City : MERIDIANVILLE
State : AL
Zip : 35759-1323
Country : US
Telephone Number : 256-468-0117
Fax Number :
Provider Business Practice Location Address
First Line : 12000 TURNMEYER DR SE
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35803-3358
Country : US
Telephone Number : 256-468-0117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2013
Last Update Date : 11/12/2013

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Directions to “ MORGAN WOLF ” Practice Location

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