Provider Demographics
NPI:1821372939
Name:MURPHY, SARENIA FAITH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SARENIA
Middle Name:FAITH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20795 HUBBARD DR
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-3397
Mailing Address - Country:US
Mailing Address - Phone:315-783-9269
Mailing Address - Fax:
Practice Address - Street 1:20795 HUBBARD DR
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-3397
Practice Address - Country:US
Practice Address - Phone:315-783-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005259225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics