Provider Demographics
NPI:1689016024
Name:MORGAN, JENNIFER LYNN (OT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 FRANKLIN FARM LANE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202
Mailing Address - Country:US
Mailing Address - Phone:717-263-5147
Mailing Address - Fax:717-263-3454
Practice Address - Street 1:142 FRANKLIN FARM LANE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202
Practice Address - Country:US
Practice Address - Phone:717-263-5147
Practice Address - Fax:717-263-3454
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009357225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist