Provider Demographics
NPI:1689039877
Name:MORRIS, SHEILA MAE (OTR/L)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MAE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:MAE
Other - Last Name:HUGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2201 OLIVER AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-5611
Mailing Address - Country:US
Mailing Address - Phone:863-812-1825
Mailing Address - Fax:
Practice Address - Street 1:1020 TIERRA DEL REY # 1
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7886
Practice Address - Country:US
Practice Address - Phone:863-812-1825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15057225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist