Provider Demographics
NPI:1295802742
Name:MORRIS, JUDITH BROWN (MAED, OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:BROWN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MAED, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 W H SMITH BLVD
Mailing Address - Street 2:UNIT 101
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5051
Mailing Address - Country:US
Mailing Address - Phone:252-757-1691
Mailing Address - Fax:888-430-0123
Practice Address - Street 1:1038 W H SMITH BLVD
Practice Address - Street 2:UNIT 101
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5051
Practice Address - Country:US
Practice Address - Phone:252-757-1691
Practice Address - Fax:888-430-0123
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCAA381277225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301086Medicaid
NC7301086Medicaid
NC0175970001Medicare NSC