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Individual

ASHLEY MARIE BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4066 E MONSANTO DR STE E, SIERRA VISTA, AZ 85650-8512
(702) 416-6997
Mailing address
6466 MONDELL PINES CIR, LAS VEGAS, NV 89146-6644
(702) 416-6997

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
013590
AZ
225100000X
Physical Therapist
3601
NV
225100000X
Physical Therapist
60848943
WA
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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