Provider Demographics
NPI:1528467420
Name:THOMAS, MORGAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:DENISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2509 COMET ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-5101
Mailing Address - Country:US
Mailing Address - Phone:504-418-6243
Mailing Address - Fax:
Practice Address - Street 1:7520 WESTBANK EXPY STE D
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-2354
Practice Address - Country:US
Practice Address - Phone:504-371-4226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08871174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist