Individual
PAULA J BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5615
(573) 632-5990
Mailing address
7716 RABBIT RDG, JEFFERSON CITY, MO 65109-3264
(573) 584-4960
(573) 632-5990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01587
MO
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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