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Individual

MRS. KELLY LYNN MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
30 PORTER DR, MIDDLEBURY, VT 05753-8422
(802) 385-3722
Mailing address
30 PORTER DR, MIDDLEBURY, VT 05753-8422
(802) 385-3722

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072.0000591
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072.0000591
STATE OF VERMONT OCCUPATIONAL THERAPIST LICENSE
VT
Enumeration date
06/28/2017
Last updated
06/28/2017
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