Individual
KENNETH DAVID MORRISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4853 E WASATCH DR, ANAHEIM, CA 92807-3037
(714) 292-2716
Mailing address
4853 E WASATCH DR, ANAHEIM, CA 92807-3037
(714) 292-2716
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1591
CA
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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