Provider Demographics
NPI:1356027742
Name:MORRIS, CYNTHIA JILL (OTR)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JILL
Last Name:MORRIS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:MORRIS-HOSKING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:174 BEN ALBERT RD
Mailing Address - Street 2:
Mailing Address - City:COTTONTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37048-5162
Mailing Address - Country:US
Mailing Address - Phone:615-400-3471
Mailing Address - Fax:
Practice Address - Street 1:174 BEN ALBERT RD
Practice Address - Street 2:
Practice Address - City:COTTONTOWN
Practice Address - State:TN
Practice Address - Zip Code:37048-5162
Practice Address - Country:US
Practice Address - Phone:615-400-3471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN309225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist