Provider Demographics
NPI:1720355647
Name:MURPHY, GLORIANN E (COTA/L)
Entity type:Individual
Prefix:MS
First Name:GLORIANN
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RIVERWATCH COURT
Mailing Address - Street 2:
Mailing Address - City:ESSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19029
Mailing Address - Country:US
Mailing Address - Phone:610-416-5462
Mailing Address - Fax:
Practice Address - Street 1:10 RIVERWATCH COURT
Practice Address - Street 2:
Practice Address - City:ESSINGTON
Practice Address - State:PA
Practice Address - Zip Code:19029
Practice Address - Country:US
Practice Address - Phone:610-416-5462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP002825L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant