Individual
FELICIA A BURSNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
810 E 30TH AVE, HUTCHINSON, KS 67502-4340
(573) 645-3385
Mailing address
PO BOX 162, META, MO 65058-0162
(573) 645-3385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-02185
KS
225200000X
Physical Therapy Assistant
Primary
2006031934
MO
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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