Provider Demographics
NPI:1427183235
Name:MURRAY, ALICIA LYNNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:LYNNE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 MCKINNON AVE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7033
Mailing Address - Country:US
Mailing Address - Phone:407-359-5645
Mailing Address - Fax:
Practice Address - Street 1:220 E. CENTRAL PARKWAY
Practice Address - Street 2:SUITE 2070
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701
Practice Address - Country:US
Practice Address - Phone:407-647-5008
Practice Address - Fax:407-647-5299
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 18816225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist