MEDICARE: PATRICIA MURPHY OTRL

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	100615	MN

General Provider Information

NPI Number	:	1932461522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA MURPHY OTRL

Provider Business Mailing Address
First Line	:	880 BLUE GENTIAN RD
Second Line	:	SUITE 190
City	:	EAGAN
State	:	MN
Zip	:	55121-1669
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 BLUE GENTIAN RD
Second Line	:	SUITE 190
City	:	EAGAN
State	:	MN
Zip	:	55121-1669
Country	:	US
Telephone Number	:	651-789-8028
Fax Number	:

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

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	06/11/2012

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