Individual
TARA NICOLE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
731 LEIGHTON AVE, ANNISTON, AL 36207-5761
(256) 235-5688
Mailing address
731 LEIGHTON AVE, ANNISTON, AL 36207-5761
(256) 235-5688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9915
AL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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