Individual
MRS. ALICE A BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
632 S LINCOLN BLVD, PHYSICAL THERAPY ASSOCIATES, HODGENVILLE, KY 42748-1051
(270) 358-9765
(270) 358-0104
Mailing address
403 N MILES ST, ELIZABETHTOWN, KY 42701-1834
(270) 360-9129
(270) 234-8197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2417
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192868
ANTHEM
KY
05
—
8700075800
—
KY
Enumeration date
02/16/2006
Last updated
08/29/2014
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