Provider Demographics
NPI:1578748851
Name:MURRAY, COURTNEY LYN (MOT OTRL)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:LYN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MOT OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:40W310 LAFOX RD # 1
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-6588
Mailing Address - Country:US
Mailing Address - Phone:630-444-0077
Mailing Address - Fax:630-444-0078
Practice Address - Street 1:350 LEE RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-562-2100
Practice Address - Fax:847-562-2112
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056008025225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics