Provider Demographics
NPI:1003053471
Name:MORROW, ZANETTA R (OT L)
Entity Type:Individual
Prefix:MRS
First Name:ZANETTA
Middle Name:R
Last Name:MORROW
Suffix:
Gender:F
Credentials:OT L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65556-8202
Mailing Address - Country:US
Mailing Address - Phone:573-765-3241
Mailing Address - Fax:573-765-5552
Practice Address - Street 1:714 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MO
Practice Address - Zip Code:65556-8202
Practice Address - Country:US
Practice Address - Phone:573-765-3241
Practice Address - Fax:573-765-5552
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008022707225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist