National Provider Identifier

Derek Morgan

Derek Morgan is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Corning, NY and a listed phone number of (607) 542-6167.

NPI 1548804719Corning, NYPhysical Therapy Assistant

Profile Overview

NPI
1548804719
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
October 31, 2019
Last Updated
October 31, 2019

Practice Location

  • 219 Canisteo St
  • Corning, NY 14830-3401

Phone: (607) 542-6167

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1548804719
Entity Type
Individual
Last Name
Morgan
First Name
Derek
Mailing Street Address
219 Canisteo St
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-3401
Mailing Country
US
Mailing Phone
(607) 542-6167
Practice Street Address
219 Canisteo St
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-3401
Practice Country
US
Practice Phone
(607) 542-6167
Enumeration Date
October 31, 2019
Last Updated
October 31, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)