Basic Information
Provider Information
NPI: 1629388665
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINEGAN
FirstName: MORGAN
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1500 HORIZON DR
Address2: SUITE 102E
City: CHALFONT
State: PA
PostalCode: 189143966
CountryCode: US
TelephoneNumber: 2157120300
FaxNumber: 2157129040
Practice Location
Address1: 1500 HORIZON DR
Address2: SUITE 102E
City: CHALFONT
State: PA
PostalCode: 189143966
CountryCode: US
TelephoneNumber: 2157120300
FaxNumber: 2157129040
Other Information
ProviderEnumerationDate: 10/08/2010
LastUpdateDate: 10/08/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800XPT020466PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


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