Individual
KAYLA BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
133 N 13TH ST, LANTANA, FL 33462-2741
(561) 704-0312
Mailing address
133 N 13TH ST, LANTANA, FL 33462-2741
(561) 704-0312
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTA26459
FL
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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