Individual
LESLIE MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 ALUM CREEK DR, COLUMBUS, OH 43209-2705
(614) 262-7520
Mailing address
8230 MARWITHE CT, NEW ALBANY, OH 43054-7112
(614) 354-2727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006099
OH
225XP0200X
Pediatric Occupational Therapist
Primary
006099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006099
OTPTAT BOARD
OH
01
—
1065916
NBCOT
—
Enumeration date
01/19/2022
Last updated
01/19/2022
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