Individual
MS. CARLY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
260 SUNRISE BLVD, ROMNEY, WV 26757-6345
(304) 822-7527
Mailing address
260 SUNRISE BLVD, ROMNEY, WV 26757-6345
(304) 822-7527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 002169
WV
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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