Individual
MR. DAVID BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 GEORGIAN GARDENS DR, POTOSI, MO 63664-1436
(573) 436-0691
Mailing address
11167 PROVINCE RD, IRONDALE, MO 63648-9513
(573) 749-3808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116295
MO
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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