MEDICARE: MR. KERRY W MURPHY P.T.

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	40QA00228800	NJ

General Provider Information

NPI Number	:	1518962463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KERRY W MURPHY P.T.

Provider Business Mailing Address
First Line	:	2137 HIGHWAY 35
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1083
Country	:	US
Telephone Number	:	732-264-9494
Fax Number	:	732-264-2502

Provider Business Practice Location Address
First Line	:	2137 HIGHWAY 35
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1083
Country	:	US
Telephone Number	:	732-264-9494
Fax Number	:	732-264-2502

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	03/05/2008

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