Individual
MISS ANNE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 613-6505
Mailing address
113 N ELM ST, CANBY, OR 97013-3519
(503) 263-8903
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
363771
OR
Other
Enumeration date
10/18/2016
Last updated
04/25/2023
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