MEDICARE: DANIEL MURPHY

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	225200000X	Physical Therapy Assistant	TE010313	PA

General Provider Information

NPI Number	:	1073968822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MURPHY

Provider Business Mailing Address
First Line	:	35 S 3RD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-2814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 S 3RD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-2814
Country	:	US
Telephone Number	:	484-802-0728
Fax Number	:

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

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	04/29/2016

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