Individual
MARY DANIELLE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 S OLD COACHMAN RD APT 714, CLEARWATER, FL 33765-4430
(806) 782-5546
Mailing address
101 S OLD COACHMAN RD APT 714, CLEARWATER, FL 33765-4430
(806) 782-5546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24777
FL
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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