Provider Demographics
NPI:1679661193
Name:WILKINSON, ELEANOR BURKE (DPT)
Entity type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:BURKE
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:BUFFY
Other - Middle Name:BLACKLOCK
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:10 N. LAPLATA CT.
Mailing Address - Street 2:
Mailing Address - City:LAPLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646
Mailing Address - Country:US
Mailing Address - Phone:301-934-5336
Mailing Address - Fax:301-934-0498
Practice Address - Street 1:10 N. LAPLATA CT.
Practice Address - Street 2:
Practice Address - City:LAPLATA
Practice Address - State:MD
Practice Address - Zip Code:20646
Practice Address - Country:US
Practice Address - Phone:301-934-5336
Practice Address - Fax:301-934-0498
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist