Individual
TINA-LORA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7060 N DURANGO DR STE 130, LAS VEGAS, NV 89149-4605
(702) 826-5749
(702) 273-3015
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1951
NV
225100000X
Physical Therapist
Primary
4576
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509091
—
NV
Enumeration date
07/03/2006
Last updated
08/17/2021
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