Individual
MRS. CAPRI N. BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5962 N. 3RD STREET, PHILADELPHIA, PA 19120
(215) 276-1770
(215) 276-1008
Mailing address
5962 N. 3RD STREET, PHILADELPHIA, PA 19120
(215) 276-1770
(215) 276-1008
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CB122837
PA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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