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Individual

ELSON BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
600 BAYARD ST, NEW IBERIA, LA 70560-5734
(337) 365-3441
Mailing address
47 SHEARWATER DR, LA PLACE, LA 70068-6451
(504) 382-0773

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
LA

Other

Enumeration date
10/18/2007
Last updated
10/18/2007
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