Provider Demographics
NPI:1346449469
Name:MORTON, SHARI LYNN (COTAL)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:LYNN
Last Name:MORTON
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:MISS
Other - First Name:SHARI
Other - Middle Name:LYNN
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:4 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-2454
Mailing Address - Country:US
Mailing Address - Phone:973-601-0912
Mailing Address - Fax:
Practice Address - Street 1:66 NORTH SUSSEX STREET
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801
Practice Address - Country:US
Practice Address - Phone:973-361-5200
Practice Address - Fax:973-361-8312
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TA09002300224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant