Individual
ELEANOR PURINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 498-8100
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5283
DEPARTMENT OF HEALTH , STATE OF MARYLAND
MD
Enumeration date
04/26/2021
Last updated
04/26/2021
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