Individual
TARA MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504
(703) 277-6611
Mailing address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504
(703) 277-6611
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0119005944
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336366079
MEDICARE NPI
VA
01
—
1972592533
MEDICARE NPI
VA
Enumeration date
05/06/2015
Last updated
01/29/2021
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