Provider Demographics
NPI:1700643236
Name:PFAFF, MORGAN FRANCES (OTR)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:FRANCES
Last Name:PFAFF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 EVERGREEN LN APT 2
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-8858
Mailing Address - Country:US
Mailing Address - Phone:715-566-4340
Mailing Address - Fax:
Practice Address - Street 1:51019 RIDGEVIEW RD
Practice Address - Street 2:
Practice Address - City:OSSEO
Practice Address - State:WI
Practice Address - Zip Code:54758-2604
Practice Address - Country:US
Practice Address - Phone:715-597-2493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8516-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist