MEDICARE: LAURA 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	225XP0200X	Pediatric Occupational Therapist	46TR00017500	NJ

General Provider Information

NPI Number	:	1881551216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MURPHY

Provider Business Mailing Address
First Line	:	303 KENILWORTH RD
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-5201
Country	:	US
Telephone Number	:	201-921-9545
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 KENILWORTH RD
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-5201
Country	:	US
Telephone Number	:	201-921-9545
Fax Number	:

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

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ LAURA MURPHY ” Practice Location

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