Provider Demographics
NPI:1730557588
Name:MORGAN, KAREN R (COTA/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:MORGAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 COUNTY ROAD 931
Mailing Address - Street 2:
Mailing Address - City:SALTILLO
Mailing Address - State:MS
Mailing Address - Zip Code:38866-9052
Mailing Address - Country:US
Mailing Address - Phone:662-554-2199
Mailing Address - Fax:
Practice Address - Street 1:237 COUNTY ROAD 931
Practice Address - Street 2:
Practice Address - City:SALTILLO
Practice Address - State:MS
Practice Address - Zip Code:38866-9052
Practice Address - Country:US
Practice Address - Phone:662-554-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSTA3009224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant