Provider Demographics
NPI:1154678373
Name:MURPHY, MELISSA J (PT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:J
Last Name:MURPHY
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Gender:F
Credentials:PT
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Mailing Address - Street 1:333 N MADISON AVE
Mailing Address - Street 2:PROVENA SAINT JOSEPH MEDICAL CENTER
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435
Mailing Address - Country:US
Mailing Address - Phone:815-725-7133
Mailing Address - Fax:815-725-6997
Practice Address - Street 1:852 A SHARP DRIVE
Practice Address - Street 2:PROVENA THERAPY AND INDUSTRIAL REHABILITATION CENTER
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60431
Practice Address - Country:US
Practice Address - Phone:815-741-7416
Practice Address - Fax:815-741-0774
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
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Provider Licenses
StateLicense IDTaxonomies
IL070.012178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist