Individual
KRISTIN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 347-5511
Mailing address
7716 RABBIT RDG, JEFFERSON CITY, MO 65109-3264
(573) 645-7104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6302
ID
Other
Enumeration date
06/17/2019
Last updated
06/18/2019
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