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NPI Code Detail

MEDICARE: SARAH MURDOCK

MEDICARE: SARAH MURDOCK
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 Therapist11768MA

General Provider Information

NPI Number : 1396119921
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MURDOCK
Provider Business Mailing Address
First Line : 120 MURRAY ST
Second Line :
City : MEDFORD
State : MA
Zip : 02155-1300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 MURRAY ST
Second Line :
City : MEDFORD
State : MA
Zip : 02155-1300
Country : US
Telephone Number : 781-391-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2015
Last Update Date : 11/19/2015

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Directions to “ SARAH MURDOCK ” Practice Location

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