Individual
TERRELL LYNN BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
317 W 3RD ST, SUITE 100, LA JUNTA, CO 81050-1401
(719) 383-0990
Mailing address
1821 RATON AVE, LA JUNTA, CO 81050-3424
(719) 469-6573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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