Individual
JUSTIN BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5770 WINSHIRE DR, CANAL WINCHESTER, OH 43110-8634
(614) 603-4877
Mailing address
5770 WINSHIRE DR, CANAL WINCHESTER, OH 43110-8634
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51770
CA
Other
Enumeration date
03/21/2023
Last updated
03/23/2023
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