Gregory Waylon Murdock, COTA
Occupational Therapy Assistant in Conroe, TX. Individual provider (NPI-1).
NPI number1831788058
StatusActive
Last updated in NPPESJan 12, 2021
Details
- NPI
- 1831788058
- Entity type
- Individual (NPI-1)
- Name
- Gregory Waylon Murdock
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2021
- Certification date
- Jan 12, 2021
- Last updated
- Jan 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 215307 | TX | Yes |
Practice location
17116 Harpers Trce Apt 3310Conroe, TX 77385-1153
Phone 936-553-4440
Mailing address
17116 Harpers Trce Apt 3310Conroe, TX 77385-1153
Phone 936-553-4440
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All 16 Occupational Therapy Assistant providers in Conroe · All 3,408 providers in Conroe
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