Individual
MR. JOHN EDGAR BURNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
509 MEADOWLARK AVE, CRANE, MO 65633-9317
(417) 723-5281
(417) 723-5443
Mailing address
2112 W JACKSON ST, BOLIVAR, MO 65613-1886
(417) 777-4789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004006979
MO
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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