Provider Demographics
NPI:1467946038
Name:CORL, MORGAN CHOCKLETT
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:CHOCKLETT
Last Name:CORL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 UNIVERSITY CITY BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-2753
Mailing Address - Country:US
Mailing Address - Phone:540-315-3000
Mailing Address - Fax:
Practice Address - Street 1:922 UNIVERSITY CITY BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-2753
Practice Address - Country:US
Practice Address - Phone:540-315-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist