Individual
DR. BRADY RUSSELL BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
39 BETA CT, SAN RAMON, CA 94583-1201
(877) 284-2638
Mailing address
2301 LUCIEN WAY STE 325, MAITLAND, FL 32751-7020
(800) 774-7785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
307873
CA
225100000X
Physical Therapist
40974
FL
225100000X
Physical Therapist
5501303471
MI
225100000X
Physical Therapist
PT016993
GA
225100000X
Physical Therapist
PT61662714
WA
Other
Enumeration date
11/14/2023
Last updated
11/17/2025
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