| NPI | 1770612392 |
|---|---|
| Former Name | CAROL MARIE MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12918) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 05356) |
| 225100000X Physical Therapist (Licence: WA PT61239273) | |
| 225100000X Physical Therapist (Licence: TX 1168328) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-10-12 |