Provider Demographics
NPI:1871776401
Name:MORRICAL, JANE MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:MARIE
Last Name:MORRICAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LUCKY LEAF CT
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3812
Mailing Address - Country:US
Mailing Address - Phone:281-296-6621
Mailing Address - Fax:
Practice Address - Street 1:14 LUCKY LEAF CT
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3812
Practice Address - Country:US
Practice Address - Phone:281-296-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1023778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist