Individual
BECKY LYNNE BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
963 TICK HILL RD, LOWELL, OH 45744-7486
(740) 350-0863
Mailing address
101 DYE CIRCLE, MARIETTA, OH 45750-2630
(740) 568-9990
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2409754
—
OH
Enumeration date
05/02/2007
Last updated
07/09/2007
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