Individual
MR. DEREK LYLE BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
251 SUNSET PL, GUIN, AL 35563-2239
(205) 468-3331
Mailing address
12297 POUNDERS AND SIMS RD, HALEYVILLE, AL 35565-6568
(205) 485-2552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1344
AL
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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