Basic Information
Provider Information
NPI: 1073930178
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: KATHRYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 845 CLOVER DR
Address2:  
City: NORTH WALES
State: PA
PostalCode: 194542749
CountryCode: US
TelephoneNumber: 2156160333
FaxNumber:  
Practice Location
Address1: 1777 SENTRY PKWY W
Address2: DUBLIN HALL, SUITE 101
City: BLUE BELL
State: PA
PostalCode: 194222207
CountryCode: US
TelephoneNumber: 6102771100
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2014
LastUpdateDate: 03/26/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT018059PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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