Provider Demographics
NPI:1780087130
Name:PATERSON, MORGAN HOLT (LPTA)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:HOLT
Last Name:PATERSON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:ELIZABETH
Other - Last Name:HOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:2060 NORTHBROOK BLVD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406
Mailing Address - Country:US
Mailing Address - Phone:834-797-5167
Mailing Address - Fax:843-797-5723
Practice Address - Street 1:2060 NORTHBROOK BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9811
Practice Address - Country:US
Practice Address - Phone:834-797-5167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3175225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant