Individual
STEPHEN BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 METAIRIE RD, SUITE 106, METAIRIE, LA 70005-4333
(504) 833-7554
Mailing address
433 METAIRIE RD, SUITE 106, METAIRIE, LA 70005-4333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7185
LA
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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