Individual
STEPHANIE BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1029 YORK ST NE, AIKEN, SC 29801-4025
(803) 502-1484
Mailing address
1029 YORK ST NE, AIKEN, SC 29801-4025
(803) 502-1484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10659
SC
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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