Individual
STACIE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 SETON DR, ORWIGSBURG, PA 17961-1009
(570) 366-0400
Mailing address
90 CLAY ST, NEW PHILADELPHIA, PA 17959-1116
(570) 277-6749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002195L
PA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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