Doctor Name: | MRS. TRACIE DALTON MURRAY |
NPI Number: | 1295989549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 023494 |
Business Practice Address: | 194 2nd Ave Cedar Grove, NJ - 070091141 |
Business Phone Number: | 9732560330 |
Business Fax Number: | |
Mailing Address: | 279 Brooklake Rd, FLORHAM PARK |
State: | NJ |
Postal Code: | 079322222 |
Phone Number: | 9178819975 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2008 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 023494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |