Organization
MY PT AND PILATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE MARIE BURGETT PT (PHYSICAL THERAPIST)
(903) 224-5058
Entity
Organization
Contact information
Practice address
6706 RED JACKET RD, SPRINGFIELD, VA 22152-2633
(903) 224-5058
Mailing address
6706 RED JACKET RD, SPRINGFIELD, VA 22152-2633
(903) 224-5058
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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