Individual
DEANDREA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
377 SFC 503, WIDENER, AR 72394-9464
(901) 674-0771
Mailing address
377 SFC 503, WIDENER, AR 72394-9464
(901) 674-0771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3922
AR
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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