Provider Demographics
NPI:1043790793
Name:PERKINS, MURPHY DIANNE (PT)
Entity type:Individual
Prefix:MRS
First Name:MURPHY
Middle Name:DIANNE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 T P WHITE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-2514
Mailing Address - Country:US
Mailing Address - Phone:501-241-0410
Mailing Address - Fax:501-241-0125
Practice Address - Street 1:2701 T P WHITE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-2514
Practice Address - Country:US
Practice Address - Phone:501-241-0410
Practice Address - Fax:501-241-0125
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT4511225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist