Provider Demographics
NPI:1588930523
Name:WOLKEN, MORGAN ELIZABETH (OTR/L)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:ELIZABETH
Last Name:WOLKEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6851
Mailing Address - Country:US
Mailing Address - Phone:212-673-6510
Mailing Address - Fax:
Practice Address - Street 1:600 E 6TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6851
Practice Address - Country:US
Practice Address - Phone:212-673-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016894-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics