Individual
MS. KELLY SHEILA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1110 PRIM ROAD, COLCHESTER, VT 05446
(802) 658-1900
Mailing address
80 AUSTIN DRIVE, UNIT 222, BURLINGTON, VT 05401
(802) 864-1741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006060
CT
225100000X
Physical Therapist
Primary
040-0003677
VT
225100000X
Physical Therapist
15208
MA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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