Provider Demographics
NPI:1750837209
Name:HENN, ELEANOR MORGAN (OTR/L)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:MORGAN
Last Name:HENN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:MORGAN
Other - Last Name:PETTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:UNC HOSPITALS OCCUPATIONAL THERAPY
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:984-974-5300
Mailing Address - Fax:984-974-5305
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:UNC HOSPITALS OCCUPATIONAL THERAPY
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-5300
Practice Address - Fax:984-974-5305
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9576225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist