Individual
JODIE LYNN BURDITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11701 BORMAN DR, SUITE 280, SAINT LOUIS, MO 63146-4100
(314) 983-9555
Mailing address
11701 BORMAN DR, SUITE 280, SAINT LOUIS, MO 63146-4100
(314) 983-9555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118627
MO
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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