Provider Demographics
NPI:1356695647
Name:MURRAY, DIANE MARIE (CPAM, OTR/L, CMT)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:MARIE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:CPAM, OTR/L, CMT
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:MARIE
Other - Last Name:SZURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2046
Practice Address - Street 1:443 RIVER RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-1914
Practice Address - Country:US
Practice Address - Phone:732-565-2421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00094600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist