Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | N/A | TN |
NPI | 1609075621 |
---|---|
Provider Name | Bobijo Murphy |
First Address | Murfreesboro, TN 37129-1713 |
Second Address | Murfreesboro, TN 37129-1713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 11/07/2007 |