Provider Demographics
NPI:1912544743
Name:MANUEL-PARRISH, ELEANOR (PTA)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:MANUEL-PARRISH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:
Other - Last Name:MANUEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 MCMUNN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-3136
Mailing Address - Country:US
Mailing Address - Phone:315-935-6316
Mailing Address - Fax:
Practice Address - Street 1:75 MCMUNN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-3136
Practice Address - Country:US
Practice Address - Phone:315-935-6316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012341225200000X
PATEI006365225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant