Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT23119 | CA |
Y | 2251P0200X | Physical Therapist - Pediatrics | PT23119 | CA |
NPI | 1114256278 |
---|---|
Provider Name | Dina Cohan Murphy |
First Address | Studio City, CA 91602-1916 |
Second Address | Calabasas, CA 91302-1926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2009 |
Last Update Date | 18/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CGP170897 | CGP NUMBER (01) | CA |