Provider Demographics
NPI:1558541037
Name:MURPHY TESCH, LAURA (DPT)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:MURPHY TESCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 RIVERSIDE DR
Mailing Address - Street 2:SUITE 5E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5204
Mailing Address - Country:US
Mailing Address - Phone:917-952-3499
Mailing Address - Fax:646-863-2650
Practice Address - Street 1:276 RIVERSIDE DR
Practice Address - Street 2:SUITE 5E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5204
Practice Address - Country:US
Practice Address - Phone:917-952-3499
Practice Address - Fax:646-863-2650
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023843225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist