Provider Demographics
NPI:1558424382
Name:MURPHY, MARLENE MULLAN (PT)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:MULLAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARLENE
Other - Middle Name:
Other - Last Name:MULLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:18109 PRINCE PHILIP DR STE 155
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1591
Mailing Address - Country:US
Mailing Address - Phone:301-260-3280
Mailing Address - Fax:301-260-3279
Practice Address - Street 1:18109 PRINCE PHILIP DR
Practice Address - Street 2:SUITE 155
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1519
Practice Address - Country:US
Practice Address - Phone:301-581-8054
Practice Address - Fax:301-564-0284
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15599225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist