Provider Demographics
NPI:1245353986
Name:PURINTON, AMY ELIZABETH (OTR)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:PURINTON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 THOUSAND OAKS DR APT 106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3971
Mailing Address - Country:US
Mailing Address - Phone:210-313-9527
Mailing Address - Fax:
Practice Address - Street 1:8930 FOURWINDS DR STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-1971
Practice Address - Country:US
Practice Address - Phone:210-495-8788
Practice Address - Fax:210-495-8212
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109589225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist