Individual
DELEON JAMAAL BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
148 SAULS ST STE B, LAKE CITY, SC 29560-2677
(843) 374-0185
(843) 374-0189
Mailing address
PO BOX 6526, COLUMBIA, SC 29260-6526
(803) 693-5040
(803) 993-9472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9364
SC
Other
Enumeration date
04/10/2006
Last updated
11/21/2023
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