Individual
DWAYNE E MORISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 452-0381
Mailing address
4110 GUADALUPE ST, REIMBURSEMENT DEPARTMENT, AUSTIN, TX 78751-4223
(512) 452-0381
(512) 419-2683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1019316
TX
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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