Provider Demographics
NPI:1831473602
Name:MURPHY, KRISTIN FRERICHS (OTR)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:FRERICHS
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 1:129 PEONY CT
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-2989
Mailing Address - Country:US
Mailing Address - Phone:941-730-8570
Mailing Address - Fax:
Practice Address - Street 1:129 PEONY CT
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212-2989
Practice Address - Country:US
Practice Address - Phone:941-730-8570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT4351225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist