Provider Demographics
NPI:1710375886
Name:MORRISON, FRANKLIN RAY (COTA/L)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:RAY
Last Name:MORRISON
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 SHELLFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-1927
Mailing Address - Country:US
Mailing Address - Phone:803-464-2020
Mailing Address - Fax:
Practice Address - Street 1:4500 SHELLFLOWER CT
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-1927
Practice Address - Country:US
Practice Address - Phone:803-464-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-24
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA006309224Z00000X
GAOTA001712224Z00000X
CA2765224Z00000X
NC9025224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant