Provider Demographics
NPI:1316421209
Name:GUIDICE, ELINOR RUBIN (PT, DPT)
Entity type:Individual
Prefix:
First Name:ELINOR
Middle Name:RUBIN
Last Name:GUIDICE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 FORESTCREST CT
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3891
Mailing Address - Country:US
Mailing Address - Phone:919-225-6757
Mailing Address - Fax:
Practice Address - Street 1:115 OAKDALE DR UNIT 8
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9080
Practice Address - Country:US
Practice Address - Phone:919-732-6600
Practice Address - Fax:919-732-2779
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist