Provider Demographics
NPI:1003240037
Name:MURRAY, JULIA MARIE (MS, OTR)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6437 RUCKER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-4885
Mailing Address - Country:US
Mailing Address - Phone:317-405-4016
Mailing Address - Fax:888-654-4116
Practice Address - Street 1:6437 RUCKER RD
Practice Address - Street 2:SUITE D
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4885
Practice Address - Country:US
Practice Address - Phone:317-405-4016
Practice Address - Fax:888-654-4116
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005546A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN31005546AOtherOCCUPATIONAL THERAPY LICENSE