Individual
JESSE EDWARD BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
806 ZIRCON CT, VIRGINIA BEACH, VA 23462-1186
(757) 215-6836
Mailing address
806 ZIRCON CT, VIRGINIA BEACH, VA 23462-1186
(757) 215-6836
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0117005352
VA
225200000X
Physical Therapy Assistant
PTA002323
GA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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