MEDICARE: MS. GLORIANN E MURPHY COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OP002825L	PA

General Provider Information

NPI Number	:	1720355647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GLORIANN E MURPHY COTA/L

Provider Business Mailing Address
First Line	:	10 RIVERWATCH COURT
Second Line	:
City	:	ESSINGTON
State	:	PA
Zip	:	19029
Country	:	US
Telephone Number	:	610-416-5462
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 RIVERWATCH COURT
Second Line	:
City	:	ESSINGTON
State	:	PA
Zip	:	19029
Country	:	US
Telephone Number	:	610-416-5462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	11/21/2011

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