Individual
COSSETTE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
FOUR PINES PHYSICAL THERAPY, 1090 S HWY 89, JACKSON, WY 83001
(307) 733-5577
Mailing address
PO BOX 8467, JACKSON, WY 83002-8467
(406) 439-8035
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-1869
WY
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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