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Individual
LUIZA ANNA BURG
Active
Individual
LUIZA ANNA BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01261800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083603
GROUP MEDICARE
NJ
Enumeration date
10/17/2007
Last updated
02/12/2026
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