Individual
MRS. KELLIE JEAN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8638 VETERANS HWY, 1ST FLOOR, MILLERSVILLE, MD 21108-1422
(410) 729-4508
(410) 729-4526
Mailing address
2000 MEDICAL PKWY, #404, ANNAPOLIS, MD 21401-3742
(443) 481-1140
(443) 481-1148
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4303
MD
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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