MEDICARE: MS. LESLEY ANN MURRAY MS, OTR

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	1048463	CO

General Provider Information

NPI Number	:	1902869282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLEY ANN MURRAY MS, OTR

Provider Business Mailing Address
First Line	:	4431 GOSHAWK DR
Second Line	:
City	:	FT COLLINS
State	:	CO
Zip	:	80526-3670
Country	:	US
Telephone Number	:	970-219-0929
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 ROBERTSON ST
Second Line	:
City	:	FT COLLINS
State	:	CO
Zip	:	80524-3926
Country	:	US
Telephone Number	:	970-493-6667
Fax Number	:	970-493-8016

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

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	07/08/2007

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