Provider Demographics
NPI:1518437441
Name:MORRIS, MIRIAM DUGAS (MS, LOTR, CHT)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:DUGAS
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS, LOTR, CHT
Other - Prefix:
Other - First Name:MIRIAM 'MONTE'
Other - Middle Name:DUGAS
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LOTR, CHT
Mailing Address - Street 1:7126 E OSBORN RD UNIT 1014
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6323
Mailing Address - Country:US
Mailing Address - Phone:719-684-3771
Mailing Address - Fax:480-860-0165
Practice Address - Street 1:8405 N PIMA CENTER PKWY STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4669
Practice Address - Country:US
Practice Address - Phone:602-648-5444
Practice Address - Fax:602-772-3801
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ007640225XH1200X
AZ7640225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand