Individual
NOAH BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5455 BASSWOOD BLVD, STE 200, FORT WORTH, TX 76137-4476
(817) 498-0700
Mailing address
3809 SUMMERSVILLE LN, KELLER, TX 76248-1756
(817) 898-0372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052430
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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