Individual
MS. SALLY JO MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8317 N 107TH ST, MILWAUKEE, WI 53224-2515
(414) 371-9022
Mailing address
8317 N 107TH ST, MILWAUKEE, WI 53224-2515
(414) 371-9022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
743
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40700900
—
WI
Enumeration date
05/15/2007
Last updated
07/08/2007
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