Provider Demographics
NPI:1386223907
Name:MURROW, AUSTIN MARSHALL (OTR/L)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:MARSHALL
Last Name:MURROW
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25477 ALPINE CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-5351
Mailing Address - Country:US
Mailing Address - Phone:951-573-0600
Mailing Address - Fax:
Practice Address - Street 1:10540 TALBERT AVE STE 250W
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6045
Practice Address - Country:US
Practice Address - Phone:714-964-0727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22155225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist