Individual
BEVERLY BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
515 S GENERALS BLVD, LINCOLNTON, NC 28092-3656
(904) 655-2616
Mailing address
515 S GENERALS BLVD, LINCOLNTON, NC 28092-3656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3837
NC
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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