Individual
LORRAINE BURQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16 W JONES ST, RALEIGH, NC 27601-1030
(919) 733-7778
Mailing address
16 WEST JONES STREET, RALEIGH, NC 27601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000
NC
Other
Enumeration date
04/15/2008
Last updated
12/23/2008
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