Individual
JEREMY BRADLEY MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L, LMT
Contact information
Practice address
1420 HATCHER LOOP DRIVE, BRANDON, FL 33511
(727) 317-9097
Mailing address
1420 HATCHER LOOP DRIVE, BRANDON, FL 33511
(727) 317-9097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA17981
FL
225700000X
Massage Therapist
Primary
MA90683
FL
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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