Doctor Name: | KRISTEN N. PURDUM |
NPI Number: | 1033174438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, PA |
License Number: | 21200 |
Business Practice Address: | 20010 Century Blvd Suite 200 Germantown, MD - 208741115 |
Business Phone Number: | 8009423363 |
Business Fax Number: | 2406862328 |
Mailing Address: | 2112 Abbott Way, WOODSTOCK |
State: | MD |
Postal Code: | 211631440 |
Phone Number: | 4102032283 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |