Individual
DIEADRA BURMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2712
(785) 505-2889
Mailing address
1488 N 600TH RD, BALDWIN CITY, KS 66006-7258
(785) 608-4333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02308
KS
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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