Provider Demographics
NPI:1770824898
Name:MORGAN, ANDREA KRISTEN (MOT)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:KRISTEN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6659 KIMBALL DR.
Mailing Address - Street 2:STE. D403
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5141
Mailing Address - Country:US
Mailing Address - Phone:253-851-3874
Mailing Address - Fax:253-858-3856
Practice Address - Street 1:6659 KIMBALL DR
Practice Address - Street 2:STE. D403
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-5137
Practice Address - Country:US
Practice Address - Phone:253-851-3874
Practice Address - Fax:253-858-3856
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 60269576225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist