Provider Demographics
NPI:1225171036
Name:MURRAY, JILL LAMSON (MA, OTR)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:LAMSON
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MA, OTR
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:LAMSON
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, OTR
Mailing Address - Street 1:1399 MARY PREISS DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4086
Mailing Address - Country:US
Mailing Address - Phone:210-633-4978
Mailing Address - Fax:
Practice Address - Street 1:14207 HIGGINS RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-1252
Practice Address - Country:US
Practice Address - Phone:210-826-4492
Practice Address - Fax:210-826-7887
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101415225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T6294OtherPRIVATE INSURANCE-BCBS