Individual
BENJAMIN ROBERT BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1415 CASADY LN, THE VILLAGE, OK 73120-1609
(405) 318-7390
Mailing address
1415 CASADY LN, THE VILLAGE, OK 73120-1609
(405) 318-7390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6177
OK
Other
Enumeration date
07/25/2022
Last updated
08/14/2023
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