Provider Demographics
NPI:1124573977
Name:MORGAN, JAIMI (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:JAIMI
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:JAIMI
Other - Middle Name:
Other - Last Name:SCHWESINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23312 N 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-5880
Mailing Address - Country:US
Mailing Address - Phone:623-229-4391
Mailing Address - Fax:
Practice Address - Street 1:23312 N 72ND AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-5880
Practice Address - Country:US
Practice Address - Phone:623-229-4391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6346224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant