Provider Demographics
NPI:1487374575
Name:PLUMLEE, MORGAN DAWN (PT, DPT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:DAWN
Last Name:PLUMLEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21251 RIDGETOP CIR STE 140
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6645
Mailing Address - Country:US
Mailing Address - Phone:703-450-4300
Mailing Address - Fax:
Practice Address - Street 1:21251 RIDGETOP CIR STE 140
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6645
Practice Address - Country:US
Practice Address - Phone:703-450-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2305215329OtherVIRGINIA LICENSE NUMBER