Individual
MRS. MONICA C BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 WEST COLLEGE STREET, STE. C, COLUMBIANA, AL 35051
(205) 259-3991
(205) 621-2212
Mailing address
101 WEST COLLEGE STREET, STE. C, COLUMBIANA, AL 35051
(205) 259-3991
(205) 621-2212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH529
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51512695
BCBS
AL
01
—
PTH529
PT LICENSE
AL
Enumeration date
07/02/2007
Last updated
07/01/2013
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