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NPI Code Detail

MEDICARE: ROBIN ALICIA MURRY LPTA

MEDICARE: ROBIN ALICIA MURRY LPTA
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
1225200000XPhysical Therapy AssistantPTA1983MS

General Provider Information

NPI Number : 1346892544
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN ALICIA MURRY LPTA
Provider Business Mailing Address
First Line : 1754 OVETT PETAL RD
Second Line :
City : OVETT
State : MS
Zip : 39464-3459
Country : US
Telephone Number : 601-543-9972
Fax Number :
Provider Business Practice Location Address
First Line : 217 METHODIST BLVD
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1338
Country : US
Telephone Number : 601-329-2233
Fax Number : 601-329-2232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 07/09/2019

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Directions to “ ROBIN ALICIA MURRY LPTA” Practice Location

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