Provider Demographics
NPI:1750301297
Name:MORRISSEY, GINGER LEE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:LEE
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5821 FAIRVIEW RD STE 215
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3649
Mailing Address - Country:US
Mailing Address - Phone:704-612-6797
Mailing Address - Fax:980-422-0089
Practice Address - Street 1:5821 FAIRVIEW RD STE 215
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3649
Practice Address - Country:US
Practice Address - Phone:704-612-6797
Practice Address - Fax:980-422-0089
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2727225100000X
SC5699225100000X
NC11551225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist