MEDICARE: JACQUELYN KUNZA-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	225100000X	Physical Therapist	005000	CT

General Provider Information

NPI Number	:	1427225465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN KUNZA-MURPHY

Provider Business Mailing Address
First Line	:	141 DURHAM RD
Second Line	:
City	:	MADISON
State	:	CT
Zip	:	06443-2676
Country	:	US
Telephone Number	:	203-245-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 DURHAM RD
Second Line	:
City	:	MADISON
State	:	CT
Zip	:	06443-2676
Country	:	US
Telephone Number	:	203-245-0001
Fax Number	:

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

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/09/2008

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Directions to “ JACQUELYN KUNZA-MURPHY ” Practice Location

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