Most Relevant Information
Provider Data
NPI Number: | 1003256454 |
Provider Name: | RICHARD DEWAYNE MORRISON |
Entity Type: | Individual |
Taxonomy Code: | 224Z00000X |
Specialty: | Occupational Therapy Assistant |
License Number: | T-03672 |
Most Important Dates
Enumeration Date: | 06/30/2013 |
Last Updated: | 06/30/2013 |
Provider Practice Location
101 S 1ST ST
IOLA
KS
667493505
Practice Location Phone/Fax
Phone: | 6203651000 |
Fax: |
Provider Mailing Location
209 W 5TH ST # GAS
IOLA
KS
667497062
Provider Mailing Phone/Fax
Phone: | 6203631316 |
Fax: |