Individual
CARLIE MARIE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 OAKCREST CT, APPLETON, WI 54914-5529
(920) 517-9040
Mailing address
1314 OAKCREST CT, APPLETON, WI 54914-5529
(920) 517-9040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2802-19
WI
Other
Enumeration date
12/26/2018
Last updated
01/04/2019
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