Individual
AVERY DAWN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
401 CHEYENNE, SATANTA, KS 67870-8748
(620) 249-2761
Mailing address
1240 N NEW YORK AVE APT 104, LIBERAL, KS 67901-2711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03245
KS
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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