Individual
MRS. CORI ANN BURCHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
5522 S LEWIS AVE, TULSA, OK 74105-7105
(918) 488-8285
(918) 488-8144
Mailing address
5522 S LEWIS AVE, TULSA, OK 74105-7105
(918) 488-8285
(918) 488-8144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT3623
OK
Other
Enumeration date
08/30/2006
Last updated
02/03/2016
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