Provider Demographics
NPI:1477649002
Name:PURSER, ELEANORE E (PT, MS, CERT MDT)
Entity Type:Individual
Prefix:
First Name:ELEANORE
Middle Name:E
Last Name:PURSER
Suffix:
Gender:F
Credentials:PT, MS, CERT MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W PACES FERRY RD NW STE 200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1366
Mailing Address - Country:US
Mailing Address - Phone:404-783-3929
Mailing Address - Fax:
Practice Address - Street 1:107 W PACES FERRY RD NW STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1366
Practice Address - Country:US
Practice Address - Phone:404-605-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009027171W00000X
GA0009027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171W00000XOther Service ProvidersContractor