Organization
IRONSPINE MOVEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NICHOLAS BURROUGHS (OWNER)
(540) 577-5405
Entity
Organization
Contact information
Practice address
2003 PEPPERS FERRY RD, PULASKI, VA 24301-3011
(504) 577-5405
Mailing address
2003 PEPPERS FERRY RD, PULASKI, VA 24301-3011
(504) 577-5405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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