Individual
MRS. DEANA BENFIELD BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4647 OWL CREEK LN, CONCORD, NC 28027-8442
(704) 706-7330
Mailing address
4647 OWL CREEK LN, CONCORD, NC 28027-8442
(704) 706-7330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1488
NC
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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