Provider Demographics
NPI:1679191878
Name:PANZER, MORGAN (PT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:PANZER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 13TH ST NW STE C112
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20004-1141
Mailing Address - Country:US
Mailing Address - Phone:202-347-1800
Mailing Address - Fax:
Practice Address - Street 1:555 13TH ST NW STE C112
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-1141
Practice Address - Country:US
Practice Address - Phone:202-347-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT872626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist