Healthcare Provider Details

I. General information

NPI: 1194649517
Provider Name (Legal Business Name): TERRA MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2686 NW 97TH AVE
DORAL FL
33172-1400
US

IV. Provider business mailing address

2686 NW 97TH AVE
DORAL FL
33172-1400
US

V. Phone/Fax

Practice location:
  • Phone: 786-542-5867
  • Fax: 844-683-2343
Mailing address:
  • Phone: 786-542-5867
  • Fax: 844-683-2343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45083
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: