Provider Demographics
NPI:1336175181
Name:HENSCHEL, MARILYN MURPHY (OTR/L,CHT)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:MURPHY
Last Name:HENSCHEL
Suffix:
Gender:F
Credentials:OTR/L,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 LOMITA BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5021
Mailing Address - Country:US
Mailing Address - Phone:310-325-7404
Mailing Address - Fax:310-325-7404
Practice Address - Street 1:3500 LOMITA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5037
Practice Address - Country:US
Practice Address - Phone:310-325-7404
Practice Address - Fax:310-325-7404
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 5947225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist