Individual
DIANE BURGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11110 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6700
(301) 665-4970
Mailing address
10119 MELODY LN, HAGERSTOWN, MD 21740-9569
(240) 527-1841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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