MEDICARE: MS. DANA LYNN MURPHY MS OTR L

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	174400000X	Specialist	OT10585	FL

General Provider Information

NPI Number	:	1467465914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA LYNN MURPHY MS OTR L

Provider Business Mailing Address
First Line	:	2301 S CONGRESS AVE APT 123
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-7465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 E SAMPLE RD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3552
Country	:	US
Telephone Number	:	800-773-5734
Fax Number	:	561-689-0157

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

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