MEDICARE: MS. ELIZABETH MURPHY OTR/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	225X00000X	Occupational Therapist	1470	NM
2	225X00000X	Occupational Therapist	6283237-4201	UT
3	225X00000X	Occupational Therapist	3736	AZ
4	225X00000X	Occupational Therapist	008592-1	NY

General Provider Information

NPI Number	:	1043642424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH MURPHY OTR/L

Provider Business Mailing Address
First Line	:	2901A LA HABRA ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-3718
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901A LA HABRA ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-3718
Country	:	US
Telephone Number	:	505-325-3039
Fax Number	:

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

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

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