Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 31005546A | IN |
NPI | 1003240037 |
---|---|
Provider Name | Julia Marie Murray |
First Address | Indianapolis, IN 46220-4885 |
Second Address | Indianapolis, IN 46220-4885 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2013 |
Last Update Date | 08/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31005546A | OCCUPATIONAL THERAPY LICENSE (01) | IN |