Manurung, Alexandra Deptula

Manurung, Alexandra Deptula is an individual health care provider with primary practice located at 715 Carter Rd , Rockville MD 20852-1006. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is her primary health care specialty. Manurung, Alexandra Deptula can be contacted via phone (410) 340-1046.

Contact Information

Primary practice address
715 Carter Rd Rockville MD 20852-1006
Phone: (410) 340-1046
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X A00208 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A4337 Maryland

Profile Details

NPI number 1376956318
LBN Legal business name Manurung, Alexandra Deptula
Credentials MS, LAT, ATC, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2014
Last updated Apr 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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