Provider Demographics
NPI:1982185989
Name:DIONNE, MORGAN H (DPT)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:H
Last Name:DIONNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:H
Other - Last Name:SCHUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1 MIRAMAR ST # 929502
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92092-0003
Mailing Address - Country:US
Mailing Address - Phone:847-209-0565
Mailing Address - Fax:
Practice Address - Street 1:4171 LAS PALMAS SQ
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-6627
Practice Address - Country:US
Practice Address - Phone:858-646-7709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017895225100000X
CA38283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist