Individual
MRS. SUSAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA,L
Contact information
Practice address
4001 FORD RD, PHILADELPHIA, PA 19131-2833
(267) 284-0242
Mailing address
25 CHELTON AVE, MORRISVILLE, PA 19067-2311
(215) 295-7693
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OP002382L
PA
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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