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Individual

MRS. ANNE D BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9474 MAYNARD DR, MARCY, NY 13403-2235
(315) 266-3420
(315) 735-3358
Mailing address
1 FAIRDALE PL, WHITESBORO, NY 13492-1103
(315) 269-7466

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004502
NY

Other

Enumeration date
01/14/2011
Last updated
01/14/2011
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