Provider Demographics
NPI:1548699713
Name:MORGAN, HEATHER (CPO)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 ALEXANDER BELL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2166
Mailing Address - Country:US
Mailing Address - Phone:410-290-0772
Mailing Address - Fax:410-290-5110
Practice Address - Street 1:6750 ALEXANDER BELL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2166
Practice Address - Country:US
Practice Address - Phone:410-290-0772
Practice Address - Fax:410-290-5110
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist