Individual
JONATHAN LYLE BURLINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1006 CROCUS HILL ST E, PARK RAPIDS, MN 56470-5419
(218) 366-8469
Mailing address
25730 HOLLY ROAD, PARK RAPIDS, MN 56470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12214
MN
Other
Enumeration date
06/10/2021
Last updated
01/29/2024
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