Provider Demographics
NPI:1881061976
Name:FIFIELD, MORGAN D (DPT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:D
Last Name:FIFIELD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:C
Other - Last Name:DELANEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:279 CHASE AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-2236
Mailing Address - Country:US
Mailing Address - Phone:203-757-0100
Mailing Address - Fax:203-757-0102
Practice Address - Street 1:279 CHASE AVE STE C
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-2236
Practice Address - Country:US
Practice Address - Phone:203-757-0100
Practice Address - Fax:203-757-0102
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10648225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist