MEDICARE: KELSEY ANNETTE MURPHY OTR/L, CLT

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	09271	MD

General Provider Information

NPI Number	:	1962255984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY ANNETTE MURPHY OTR/L, CLT

Provider Business Mailing Address
First Line	:	1254 DELAFIELD PL NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2809
Country	:	US
Telephone Number	:	301-910-2761
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 MONTPELIER RD STE 105
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-6012
Country	:	US
Telephone Number	:	301-246-3056
Fax Number	:

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

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	04/09/2024

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