Individual
MR. ERIC S. BURNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4425 E AGAVE RD STE 100, PHOENIX, AZ 85044-0620
(480) 785-1043
(480) 785-1124
Mailing address
4425 E AGAVE RD STE 100, PHOENIX, AZ 85044-0620
(480) 785-1043
(480) 785-1124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006976
AZ
225100000X
Physical Therapist
28940
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075336
—
AZ
Enumeration date
10/23/2006
Last updated
03/13/2021
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