Individual
MR. JEFFREY SCOTT BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1911 LITTLE EGYPT RD, WHITMIRE, SC 29178-9065
(803) 694-4587
Mailing address
1911 LITTLE EGYPT RD, WHITMIRE, SC 29178-9065
(803) 694-4587
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2857
SC
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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