Provider Demographics
NPI:1467007278
Name:MORLOCK, DEVYN (OTR/L)
Entity Type:Individual
Prefix:
First Name:DEVYN
Middle Name:
Last Name:MORLOCK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TUDOR ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-1651
Mailing Address - Country:US
Mailing Address - Phone:518-810-8277
Mailing Address - Fax:
Practice Address - Street 1:300 MILL ROSE CT
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-3024
Practice Address - Country:US
Practice Address - Phone:518-869-2480
Practice Address - Fax:518-869-2480
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023475-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist