Individual
CHERYL BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 RIDGEDALE ST, BRYAN, TX 77803-3722
(979) 209-2726
Mailing address
1201 RIDGEDALE ST, BRYAN, TX 77803-3722
(979) 209-2726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2032100
TX
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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