Provider Demographics
NPI:1720489099
Name:MURRAY, DANA ERIN (OTR)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:ERIN
Last Name:MURRAY
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 1:16 SCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NH
Mailing Address - Zip Code:03833-6024
Mailing Address - Country:US
Mailing Address - Phone:603-686-0743
Mailing Address - Fax:
Practice Address - Street 1:4566 ORANGE BLVD STE 1006
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-9104
Practice Address - Country:US
Practice Address - Phone:800-798-6035
Practice Address - Fax:888-235-6035
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2403225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist