Individual
LAUREN M BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
111 DAVIS STUART RD, RONCEVERTE, WV 24970-9549
(304) 647-3987
(304) 647-3990
Mailing address
111 DAVIS STUART RD, RONCEVERTE, WV 24970-9549
(304) 647-3987
(304) 647-3990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003475
WV
Other
Enumeration date
05/27/2015
Last updated
01/04/2017
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