Provider Demographics
NPI:1689708497
Name:MORRISON, ERIN ELISABETH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELISABETH
Last Name:MORRISON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 KIMBERLY CT
Mailing Address - Street 2:
Mailing Address - City:FERDINAND
Mailing Address - State:IN
Mailing Address - Zip Code:47532-9369
Mailing Address - Country:US
Mailing Address - Phone:812-483-0484
Mailing Address - Fax:812-937-4738
Practice Address - Street 1:2220 KIMBERLY CT
Practice Address - Street 2:
Practice Address - City:FERDINAND
Practice Address - State:IN
Practice Address - Zip Code:47532-9369
Practice Address - Country:US
Practice Address - Phone:812-483-0484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003887A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200681120Medicaid