Individual
SARAH BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(662) 289-4311
Mailing address
10622 ALLEN SWAMP RD, COLLINSVILLE, MS 39325-8963
(601) 626-7046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5784
MS
Other
Enumeration date
08/11/2015
Last updated
09/08/2015
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