Individual
LISA BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2114
(216) 363-2276
Mailing address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2114
(216) 363-2276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012354
OH
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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