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NPI Code Detail

MEDICARE: DIANE MARIE MURRAY CPAM, OTR/L, CMT

MEDICARE: DIANE MARIE MURRAY CPAM, OTR/L, CMT
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
1225X00000XOccupational Therapist46TR00094600NJ

General Provider Information

NPI Number : 1356695647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE MARIE MURRAY CPAM, OTR/L, CMT
Provider Business Mailing Address
First Line : 2222 SULLIVAN TRL
Second Line :
City : EASTON
State : PA
Zip : 18040-7958
Country : US
Telephone Number : 800-944-9782
Fax Number : 610-438-2046
Provider Business Practice Location Address
First Line : 443 RIVER RD
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1914
Country : US
Telephone Number : 732-565-2421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2012
Last Update Date : 11/08/2012

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