Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0388 | NH |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT349 | ME |
NPI | 1861516197 |
---|---|
Provider Name | Daniel Thomas Murray |
First Address | Wolfeboro, NH 03894-1816 |
Second Address | Effingham, NH 03882-8336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |