Individual
KATHLEEN MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5246
Mailing address
34966 MUNGER DR, LIVONIA, MI 48154-2473
(248) 925-2682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010860
MI
Other
Enumeration date
12/10/2020
Last updated
09/02/2021
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