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Individual

JACKIE BURKHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
26 CONNEAUT LAKE RD, GREENVILLE, PA 16125-2167
(724) 588-3001
Mailing address
26 CONNEAUT LAKE RD, GREENVILLE, PA 16125-2167

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010946
PA

Other

Enumeration date
08/23/2016
Last updated
08/23/2016
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