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NPI Code Detail

MEDICARE: MRS. LYNETTE CHAMBERS MURPHY PT

MEDICARE: MRS. LYNETTE CHAMBERS MURPHY PT
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
12251P0200XPediatric Physical Therapist592AR

General Provider Information

NPI Number : 1932350394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNETTE CHAMBERS MURPHY PT
Provider Business Mailing Address
First Line : 175 HIBISCUS DR
Second Line :
City : MAUMELLE
State : AR
Zip : 72113-5820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 RESERVOIR RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-5712
Country : US
Telephone Number : 501-447-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2008
Last Update Date : 10/03/2008

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