Individual
BAILEY JORDAN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
(678) 377-2882
Mailing address
120 MARANATHA RD, SCOTTS VALLEY, CA 95066-2986
(831) 600-5134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
307991
CA
Other
Enumeration date
05/07/2025
Last updated
05/09/2025
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