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Individual

AUSTIN BURLAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
14625 W CAPITOL DR STE 200, BROOKFIELD, WI 53005-2318
(262) 790-9800
Mailing address
1680 CONSTITUTION DR, BROOKFIELD, WI 53045-5302

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/07/2018
Last updated
06/07/2018
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