Individual
MAURA SIOBHAN MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1434 NW ITHACA AVE, BEND, OR 97703-2114
(650) 315-5140
Mailing address
1434 NW ITHACA AVE, BEND, OR 97703-2114
(650) 315-5140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT10519
LICENSE NUMBER
CA
01
—
OT246359
LICENSE NUMBER
OR
Enumeration date
02/19/2009
Last updated
04/15/2022
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