Doctor Name: | WENDY MORTON |
NPI Number: | 1689888737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | OT0000003695 |
Business Practice Address: | 3423 E Highland Drive Suite A Jonesboro, AR - 72401 |
Business Phone Number: | 8703360021 |
Business Fax Number: | 8703360022 |
Mailing Address: | 3423 E Highland Drive, Suite A JONESBORO |
State: | AR |
Postal Code: | 72401 |
Phone Number: | 8703360021 |
Fax Number: | 8703360022 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 11/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT0000003695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |