Pruitt, Maria Elizabeth

Pruitt, Maria Elizabeth is an individual health care provider with primary practice located at 414 W Lebanon St , Mount Airy NC 27030-2954. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pruitt, Maria Elizabeth can be contacted via phone (336) 789-9041.

Contact Information

Primary practice address
414 W Lebanon St Mount Airy NC 27030-2954
Phone: (336) 789-9041
Fax: (336) 789-9042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11023 North Carolina

Profile Details

NPI number 1093917692
LBN Legal business name Pruitt, Maria Elizabeth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated May 9th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093917692 NPPES
North Carolina Other 11023 PHYSICAL THERAPIST

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