Provider Demographics
NPI:1336860527
Name:MURRAY, SHAENELLE (MS OT)
Entity Type:Individual
Prefix:
First Name:SHAENELLE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8217 RAMSEUR PL
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-1911
Mailing Address - Country:US
Mailing Address - Phone:206-899-7375
Mailing Address - Fax:
Practice Address - Street 1:8217 RAMSEUR PL
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-1911
Practice Address - Country:US
Practice Address - Phone:206-899-7375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics