Provider Demographics
NPI:1861812992
Name:MORRISON, MARY SALOKA (PT, DSCPT, MHS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:SALOKA
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PT, DSCPT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29336 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-1321
Mailing Address - Country:US
Mailing Address - Phone:440-250-5767
Mailing Address - Fax:440-250-5768
Practice Address - Street 1:850 COLUMBIA RD
Practice Address - Street 2:110
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1493
Practice Address - Country:US
Practice Address - Phone:440-250-5767
Practice Address - Fax:440-250-5768
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2743225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist