Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | 4269 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 4269 | CA |
NPI | 1053603589 |
---|---|
Provider Name | Mrs. Julie Lee Murray |
First Address | San Marcos, CA 92078-1077 |
Second Address | San Marcos, CA 92078-1077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2011 |
Last Update Date | 03/05/2011 |