Individual
AMPAI BURBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N PEARL LAKE CSWY UNIT 202, ALTAMONTE SPRINGS, FL 32714-2940
(407) 782-9576
Mailing address
175 N PEARL LAKE CSWY UNIT 202, ALTAMONTE SPRINGS, FL 32714-2940
(407) 782-9576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30309
FL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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