Individual
MISS LYNNORE FRANCES PANTALEON BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1384 HALILI ST, EWA BEACH, HI 96706-6538
(785) 550-3782
Mailing address
PO BOX 60348, EWA BEACH, HI 96706-7348
(785) 550-3782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-401
HI
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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