Provider Demographics
NPI:1972674539
Name:FRANCIS, MORRISA R (MOT, OTR L)
Entity Type:Individual
Prefix:
First Name:MORRISA
Middle Name:R
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MOT, OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12030 STARBOARD DR
Mailing Address - Street 2:#303
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-4320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21475 RIDGETOP CIR
Practice Address - Street 2:#340
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6580
Practice Address - Country:US
Practice Address - Phone:703-430-6322
Practice Address - Fax:703-430-8776
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004363225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand