Individual
ANDREA BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1650 TRI PARK WAY STE A, APPLETON, WI 54914-1698
(920) 830-6697
(920) 830-6707
Mailing address
1650 TRI PARK WAY STE A, APPLETON, WI 54914-1698
(920) 830-6697
(920) 830-6707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00993
IA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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