Provider Demographics
NPI:1144423781
Name:PURCELL, DEBORAH (MOT,OTR)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:PURCELL
Suffix:
Gender:F
Credentials:MOT,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10430 JANWAY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7317
Mailing Address - Country:US
Mailing Address - Phone:915-433-2025
Mailing Address - Fax:
Practice Address - Street 1:CROSS COUNTRY TRAV CORPS
Practice Address - Street 2:40 EASTERN AVENUE
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148
Practice Address - Country:US
Practice Address - Phone:800-906-0514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110049225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility