Provider Demographics
NPI:1902002090
Name:MORRISON, HEATHER (PT, MTC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PT, MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-5112
Mailing Address - Country:US
Mailing Address - Phone:215-681-6893
Mailing Address - Fax:
Practice Address - Street 1:2821 ISLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-2300
Practice Address - Country:US
Practice Address - Phone:215-863-2327
Practice Address - Fax:215-863-2367
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0155922251X0800X
IL700114672251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic