Individual
MISS MARY JEAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6046 SANDCHERRY DR, INDIANAPOLIS, IN 46236-6334
(317) 826-4263
Mailing address
1481 WEST 10TH STREET, C/O RICHARD ROUDEBUSH VAMC, INDIANAPOLIS, IN 46202
(317) 988-2751
(317) 988-3312
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05002324A
IN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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