Individual
KELLY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(727) 972-2000
Mailing address
3118 COVENTRY E, SAFETY HARBOR, FL 34695-4805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26033
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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