Provider Demographics
NPI:1245737618
Name:BARON, MORGAN L (COTA/A)
Entity Type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:L
Last Name:BARON
Suffix:
Gender:F
Credentials:COTA/A
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:L
Other - Last Name:BARON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:29 LEATHERSTOCKING ST
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1190
Mailing Address - Country:US
Mailing Address - Phone:315-491-5019
Mailing Address - Fax:
Practice Address - Street 1:29 LEATHERSTOCKING ST
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1190
Practice Address - Country:US
Practice Address - Phone:315-491-5019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009615224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant