Provider Demographics
NPI:1427383660
Name:MURRAY, AMY JO (OTR/L)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:MURRAY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11812 HANCOCK DR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-3430
Mailing Address - Country:US
Mailing Address - Phone:651-206-8349
Mailing Address - Fax:
Practice Address - Street 1:11812 HANCOCK DR
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-3430
Practice Address - Country:US
Practice Address - Phone:651-206-8349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103791225X00000X
FL21318225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist