Individual
NANCY KATHLEEN BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11230 BALLANTYNE TRACE CT, CHARLOTTE, NC 28277-2791
(704) 341-1139
Mailing address
4014 EUTAW DR, WAXHAW, NC 28173-8936
(704) 843-9556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1428
NC
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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