Individual
MRS. LENORE FILLER MORRISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, DPT, OCS, CFC
Contact information
Practice address
8601 W EMERALD ST STE 176, BOISE, ID 83704-8297
(208) 353-3184
Mailing address
PO BOX 140535, GARDEN CITY, ID 83714-0535
(208) 353-3184
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
24520
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT-8427
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11585418
CAQH
CA
Enumeration date
07/10/2006
Last updated
05/09/2024
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