Individual
MR. JUSTIN KYLE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Mailing address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6903
NC
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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