Individual
DAVID BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
630 BROAD ST, CARLSTADT, NJ 07072
(201) 507-0717
(201) 507-0718
Mailing address
11 EAGLE ROCK AVE STE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
028524
NY
225100000X
Physical Therapist
1250393
TX
225100000X
Physical Therapist
Primary
40QA01870600
NJ
225100000X
Physical Therapist
42174
CA
225100000X
Physical Therapist
PT02760
RI
Other
Enumeration date
06/06/2016
Last updated
11/21/2019
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