Provider Demographics
NPI:1043396294
Name:MORROW, PHILIP ANDREW (PT)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:ANDREW
Last Name:MORROW
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 N CEDAR AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4833
Mailing Address - Country:US
Mailing Address - Phone:559-440-9200
Mailing Address - Fax:559-440-9222
Practice Address - Street 1:8525 N CEDAR AVE STE 109
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4833
Practice Address - Country:US
Practice Address - Phone:559-440-9200
Practice Address - Fax:559-440-9222
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT300022251X0800X
CACA-PT30002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT300020OtherBLUE SHIELD
CA0PT300020OtherBLUE SHIELD
CA0PT300020Medicare ID - Type UnspecifiedM/C INDIVIDUAL ID