Organization
BURKE COLLINS THERAPY, INC
Active
Other names
Back To Work Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (CHIEF ADMINISTRATIVE OFFICER)
(800) 699-9395
Entity
Organization
Contact information
Practice address
741 W LUMSDEN RD, BRANDON, FL 33511-6261
(813) 253-3092
(813) 259-9516
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT22137
FL
2251X0800X
Orthopedic Physical Therapist
PT29393
FL
2251X0800X
Orthopedic Physical Therapist
PT32063
FL
225700000X
Massage Therapist
MA17987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-6650
MEDICARE OUTPATIENT REHABILITATION FACILITY
FL
Enumeration date
08/22/2006
Last updated
04/26/2024
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