Individual
MRS. BONNIE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4290
(423) 844-4149
Mailing address
16097 ROCKY TOP RDG, BRISTOL, VA 24202-4981
(423) 844-4290
(423) 844-4149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
567
TN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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