Individual
ADDISON MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2719 TANGLEWOOD DR, ROANOKE, VA 24018-5129
(540) 968-3588
Mailing address
2719 TANGLEWOOD DR, ROANOKE, VA 24018-5129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131002455
VA
224Z00000X
Occupational Therapy Assistant
Primary
C2443
WV
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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