Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 004860 | CT |
NPI | 1285905737 |
---|---|
Provider Name | Carroll Frances Murphy |
First Address | Litchfield, CT 06759-3118 |
Second Address | Litchfield, CT 06759-2505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2012 |
Last Update Date | 14/01/2012 |