Individual
CHARLES ALAN BURPEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
417 GROW AVE, MONTROSE, PA 18801-1105
(570) 278-1101
(570) 278-1102
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(570) 550-0168
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022567
NY
225100000X
Physical Therapist
Primary
PT032652
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730207
—
NY
Enumeration date
03/14/2006
Last updated
08/06/2024
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