Individual
AMY BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 E OAK RD, SAN TAN VALLEY, AZ 85140
(816) 739-8197
Mailing address
1479 E OAK RD, SAN TAN VALLEY, AZ 85140-3191
(816) 739-8197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10281A
AZ
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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