Individual
MADISON RAE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(800) 259-9897
Mailing address
101 OLIVE LN, PATTERSON, LA 70392-5631
(337) 353-5394
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A11102
LA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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