Basic Information
Provider Information
NPI: 1205104452
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: ALANA
MiddleName: G
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 LOCUST DR
Address2:  
City: CRANFORD
State: NJ
PostalCode: 070162009
CountryCode: US
TelephoneNumber: 9084993988
FaxNumber:  
Practice Location
Address1: 200 SOMERSET ST
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011942
CountryCode: US
TelephoneNumber: 7322587000
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/02/2011
LastUpdateDate: 12/01/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X46TR0061090NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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