Individual
PAMELA RAE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
500 N WESTERN AVE, #202, LAKE FOREST, IL 60045-1954
(847) 234-1656
Mailing address
500 N WESTERN AVE, #202, LAKE FOREST, IL 60045-1954
(847) 234-1656
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4983032
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/12/2005
Last updated
07/08/2007
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