MEDICARE: EMMA MURPHY 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	225X00000X	Occupational Therapist	15875	NC

General Provider Information

NPI Number	:	1821788506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA MURPHY OTR/L

Provider Business Mailing Address
First Line	:	6108 ONSLOW CT
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-7046
Country	:	US
Telephone Number	:	804-617-8812
Fax Number	:

Provider Business Practice Location Address
First Line	:	2826 RANDOLPH RD FL 2
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1359
Country	:	US
Telephone Number	:	552-170-4366
Fax Number	:

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

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/09/2023

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