Individual
BRECK DEAN BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
815 NW 4TH ST, GUYMON, OK 73942-4626
(580) 651-7534
Mailing address
815 NW 4TH ST, GUYMON, OK 73942-4626
(580) 651-7534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5182
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200925970A
—
OK
Enumeration date
10/18/2017
Last updated
12/21/2021
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