Individual
MRS. LORETTA SUSAN MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
4 UTOPIAN PL, WALDEN, NY 12586-1314
(845) 699-9249
Mailing address
4 UTOPIAN PL, WALDEN, NY 12586-1314
(845) 699-9249
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03764-1
NY
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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