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Individual

MRS. DONNA LYNN BURCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
100 BRIGHTWATER DRIVE, MYRTLE BEACH, SC 29579
(843) 903-8300
Mailing address
614 RIDGE DR, GOLDSBORO, NC 27530-9228
(919) 580-0101

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2683
SC

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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