Individual
MS. VERA MARCELLA FRANZISKA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
430 W MAIN ST, DOTHAN, AL 36301-1616
(334) 677-6955
Mailing address
100 MANNINGTON CT, DOTHAN, AL 36305-6326
(334) 671-3015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH1199
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21490
PHYSICAL THERAPY LICENSE
AL
01
—
PTH1199
PHYSICAL THERAPY LICENSE
AL
Enumeration date
11/29/2006
Last updated
07/08/2007
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