Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT3123 | FL |
N | 2251N0400X | Physical Therapist - Neurology | PT3123 | FL |
N | 2251P0200X | Physical Therapist - Pediatrics | PT3123 | FL |
NPI | 1427316595 |
---|---|
Provider Name | Dana Leonard Murphy |
First Address | Deland, FL 32720-2560 |
Second Address | Deland, FL 32720-2560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 13/03/2015 |