Individual
MADHUR PURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13950 BRANDYWINE RD, BRANDYWINE, MD 20613-5815
(301) 782-2220
Mailing address
13950 BRANDYWINE RD, BRANDYWINE, MD 20613-5815
(716) 464-0574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07024
MD
225X00000X
Occupational Therapist
OT006870
GA
Other
Enumeration date
07/24/2015
Last updated
04/30/2024
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