Provider Demographics
NPI:1588140099
Name:MCMURRY, SALLY (B-K, ITFS)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:
Last Name:MCMURRY
Suffix:
Gender:F
Credentials:B-K, ITFS
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:IRENE
Other - Last Name:STROUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 RAMSHORN CT
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7915
Mailing Address - Country:US
Mailing Address - Phone:252-671-0263
Mailing Address - Fax:
Practice Address - Street 1:217 RAMSHORN CT
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7915
Practice Address - Country:US
Practice Address - Phone:252-671-0263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty