Provider Demographics
NPI:1346613189
Name:KRUPINSKI, ELIZABETH LYNNE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:LYNNE
Last Name:KRUPINSKI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 GLENRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3713
Mailing Address - Country:US
Mailing Address - Phone:301-655-4446
Mailing Address - Fax:
Practice Address - Street 1:4316 GLENRIDGE ST
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3713
Practice Address - Country:US
Practice Address - Phone:301-655-4446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17291174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist