Individual
LISA RENEE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9515 E 51ST ST STE G, TULSA, OK 74145-9053
(918) 622-7488
Mailing address
10027 S 90TH EAST AVE, TULSA, OK 74133-5802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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