MEDICARE: JOAN EILEEN MURRAY OTR, CHT

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	225XH1200X	Hand Occupational Therapist	3053-1	NY

General Provider Information

NPI Number	:	1871658237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN EILEEN MURRAY OTR, CHT

Provider Business Mailing Address
First Line	:	123 GROVE AVE
Second Line	:	SUITE 212
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2322
Country	:	US
Telephone Number	:	516-295-5002
Fax Number	:	516-295-2720

Provider Business Practice Location Address
First Line	:	123 GROVE AVE
Second Line	:	SUITE 212
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2322
Country	:	US
Telephone Number	:	516-295-5002
Fax Number	:	516-295-2720

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	07/08/2007

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