Individual
MR. RICHARD MARK BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 NOVACARE WAY, PHILADELPHIA, PA 19145-5900
(215) 339-5493
(215) 463-8171
Mailing address
16 GRAYPEBBLE CIR, SICKLERVILLE, NJ 08081-1666
(856) 740-0031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000239A
PA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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