Provider Demographics
NPI:1619426939
Name:MURPHY, LIANA (OTR/L)
Entity Type:Individual
Prefix:
First Name:LIANA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LIANA
Other - Middle Name:
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 OAK LN APT B
Mailing Address - Street 2:
Mailing Address - City:LEVANT
Mailing Address - State:ME
Mailing Address - Zip Code:04456-4596
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:922 OHIO ST APT 301
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3079
Practice Address - Country:US
Practice Address - Phone:833-950-4471
Practice Address - Fax:207-367-1248
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9470949-4201225X00000X
VA0119008626225X00000X
NY020840225X00000X
ME225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist