Provider Demographics
NPI:1972563245
Name:PURCELL, PAIGE MELANIE (PTA)
Entity Type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:MELANIE
Last Name:PURCELL
Suffix:
Gender:F
Credentials:PTA
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Mailing Address - Street 1:313 HOSPITAL DRIVE
Mailing Address - Street 2:NORTH ARUNDEL HEALTH & REHAB. CENTER
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3246
Mailing Address - Country:US
Mailing Address - Phone:410-761-1222
Mailing Address - Fax:410-760-3970
Practice Address - Street 1:313 HOSPITAL DRIVE
Practice Address - Street 2:NORTH ARUNDEL HEALTH & REHAB CENTER
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3246
Practice Address - Country:US
Practice Address - Phone:410-761-1222
Practice Address - Fax:410-760-3970
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDA1206225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant