Provider Demographics
NPI:1477875185
Name:MORRISON, PJ PHILIP (DPT)
Entity Type:Individual
Prefix:DR
First Name:PJ
Middle Name:PHILIP
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:210 GREENFIELD ST APT 220
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6292
Mailing Address - Country:US
Mailing Address - Phone:443-907-7539
Mailing Address - Fax:
Practice Address - Street 1:16579 US HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-7313
Practice Address - Country:US
Practice Address - Phone:910-685-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD199290ZBL8Medicare PIN