Individual
JANICE LYNN BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4110 TIVOLI CT, #106, LAKE WORTH, FL 33467-4097
(561) 414-8684
Mailing address
4110 TIVOLI CT, #106, LAKE WORTH, FL 33467-4097
(561) 414-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23169
FL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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