Provider Demographics
NPI:1881716074
Name:ERIN E MORRISON
Entity type:Organization
Organization Name:ERIN E MORRISON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:812-483-0484
Mailing Address - Street 1:635 N REDBUD DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLAUS
Mailing Address - State:IN
Mailing Address - Zip Code:47579-9728
Mailing Address - Country:US
Mailing Address - Phone:812-483-0484
Mailing Address - Fax:812-937-4738
Practice Address - Street 1:635 N REDBUD DR
Practice Address - Street 2:
Practice Address - City:SANTA CLAUS
Practice Address - State:IN
Practice Address - Zip Code:47579-9728
Practice Address - Country:US
Practice Address - Phone:812-483-0484
Practice Address - Fax:812-937-4738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003887A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200731230Medicaid