Individual
JILLIAN MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
PO BOX 1464, COAL CITY, WV 25823-1464
(520) 686-4399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1981
WV
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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