Individual
CAITLYN BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(401) 573-7687
Mailing address
94A BARTLETT ST, CHARLESTOWN, MA 02129-2419
(978) 390-0198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9014
MA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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