Individual
MR. THEODORE MORGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1600 TEXAS ST, FORT WORTH, TX 76102-3400
(817) 338-2400
Mailing address
1600 TEXAS ST, FORT WORTH, TX 76102-3400
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
214175
TX
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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