Provider Demographics
NPI:1073399556
Name:MURRAY, JOHN JAMES III (OT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JAMES
Last Name:MURRAY
Suffix:III
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 THREE MILE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1729
Mailing Address - Country:US
Mailing Address - Phone:203-560-9227
Mailing Address - Fax:
Practice Address - Street 1:58 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-1704
Practice Address - Country:US
Practice Address - Phone:860-276-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001665225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation