Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 20808 | MD |
NPI | 1295181915 |
---|---|
Provider Name | Maria Murphy |
First Address | Moorestown, NJ 08057-3306 |
Second Address | Moorestown, NJ 08057-3306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2016 |
Last Update Date | 12/05/2016 |