Provider Demographics
NPI:1053421263
Name:MORGAN, VIRGINIA NELL (PT, BS)
Entity type:Individual
Prefix:PROF
First Name:VIRGINIA
Middle Name:NELL
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PT, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15969 N ORACLE RD
Mailing Address - Street 2:SUITE 171
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9209
Mailing Address - Country:US
Mailing Address - Phone:520-293-5747
Mailing Address - Fax:520-293-5626
Practice Address - Street 1:15969 N ORACLE RD
Practice Address - Street 2:SUITE 171
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-9209
Practice Address - Country:US
Practice Address - Phone:520-293-5747
Practice Address - Fax:520-293-5626
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ0359225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ77206Medicare ID - Type Unspecified