Individual
DANA RENEE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3700 CROSS PARK DR, BRYAN, TX 77802-4137
(979) 774-9958
(979) 774-9978
Mailing address
3700 CROSS PARK DR, BRYAN, TX 77802-4137
(979) 774-9958
(979) 774-9978
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2056716
TX
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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