Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 056.009432 | IL |
NPI | 1154082030 |
---|---|
Provider Name | Caroline Margaret Murphy |
First Address | Chicago, IL 60622-4516 |
Second Address | Chicago, IL 60612-3728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2022 |
Last Update Date | 04/01/2022 |