Provider Demographics
NPI:1306030572
Name:MORGAN, AMANDA SUTTON (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SUTTON
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:DAWN
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:5001 LONG POINTE ROAD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-8568
Mailing Address - Country:US
Mailing Address - Phone:252-526-1605
Mailing Address - Fax:910-799-9035
Practice Address - Street 1:5001 LONG POINTE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-8568
Practice Address - Country:US
Practice Address - Phone:252-526-1605
Practice Address - Fax:910-799-9035
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6261225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics