Individual
TANYA BURASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 NINS LN, MURPHYSBORO, IL 62966-4595
(815) 579-1046
Mailing address
46 NINS LN, MURPHYSBORO, IL 62966-4595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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