Individual
MRS. LISA RENEE BURCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
25 WILDERNESS RD, ENID, OK 73703-1128
(580) 855-2222
(580) 855-2222
Mailing address
25 WILDERNESS RD, ENID, OK 73703-1128
(580) 855-2222
(580) 855-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1828
OK
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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