Lisa Marie Burdick PTA

NPI 1063481653 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1063481653
Gender Female
Enumeration Date 03/16/2006
Last Updated 02/22/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
45 MALLETT DR
FREEPORT ME, 04032-1312, US
Phone (207) 442-0325
Fax (207) 443-4578
Business Location
45 MALLETT DR
FREEPORT ME, 04032-1312, US
Phone (207) 442-0325
Fax (207) 443-4578
Toxanomy
Taxonomy Code 225200000X
License State Maine
License Number PA2433
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According to our database, Lisa Marie Burdick PTA NPI is 1063481653, taxonomy code is 225200000X and license number is PA2433, license state is located at Maine. Lisa Marie Burdick PTA physically located at 45 Mallett Dr, Freeport ME, 04032-1312. NPI Number Lisa Marie Burdick PTA has the Individual type.

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1063481653 NPI number is provided on an as is basis without warranty of any kind. 1063481653 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marie Burdick PTA are for informational purposes only.