Individual
BRADLEY MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 ST JOE CENTER ED, FORT WAYNE, IN 46825
(260) 497-0328
Mailing address
2626 ST JOE CENTER RD, FORT WAYNE, IN 46825
(260) 497-0328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007104A
IN
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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