Provider Demographics
NPI:1568182145
Name:BILBOW, MORGAN E (OTR/L)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:E
Last Name:BILBOW
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 1:1250 HALF ST SE APT 537
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-0139
Mailing Address - Country:US
Mailing Address - Phone:570-852-1952
Mailing Address - Fax:
Practice Address - Street 1:1250 HALF ST SE APT 537
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-0139
Practice Address - Country:US
Practice Address - Phone:570-852-1952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC015857225X00000X
VA0119008215225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist