Individual
KELISHA ANN MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
1250 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 353-3596
Mailing address
1250 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 353-3596
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113276
OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
10/01/2013
Last updated
10/01/2013
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