Provider Demographics
NPI:1346326709
Name:MURRAY, PEGGY DIAW (COTA L)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:DIAW
Last Name:MURRAY
Suffix:
Gender:F
Credentials:COTA L
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:726 MILLER ESTATES RD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167
Mailing Address - Country:US
Mailing Address - Phone:615-220-4040
Mailing Address - Fax:
Practice Address - Street 1:928 OLD SMITHVILLE HWY
Practice Address - Street 2:NHC
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110
Practice Address - Country:US
Practice Address - Phone:931-473-8431
Practice Address - Fax:931-473-3941
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOTA126224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant