Provider Demographics
NPI:1962620781
Name:MURPHY, CHERYL A (MS OTR L)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 TIMBERBROOK LN
Mailing Address - Street 2:T 3
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2875
Mailing Address - Country:US
Mailing Address - Phone:301-869-8554
Mailing Address - Fax:
Practice Address - Street 1:17401 NORWOOD RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRING
Practice Address - State:MD
Practice Address - Zip Code:20860-1236
Practice Address - Country:US
Practice Address - Phone:301-924-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04894225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist