Basic Information
| Provider Information | |||||||||
| NPI: | 1679799282 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORLEY | ||||||||
| FirstName: | MICHELE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | COTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 SHERWOOD TER | ||||||||
| Address2: | |||||||||
| City: | GLENDORA | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080291716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569392023 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20 N WOODBURY TURNERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BLACKWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080122888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563746600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | 46TA09026500 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.