Individual
STORMY LYN BURKE
Active
Individual
STORMY LYN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 01617
OH
225700000X
Massage Therapist
Primary
33.007992
OH
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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