Individual
PRECIOUS RANDA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
70 MAIN ST, NEW HAMPTON, NH 03256-4208
(603) 677-3510
Mailing address
PO BOX 632, NEW HAMPTON, NH 03256-0632
(603) 381-1174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0517
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0517
NEW HAMPSHIRE STATE LICENSURE
NH
01
—
32826
NATIONAL ATHLETIC TRAINERS' ASSOCIATION
—
01
—
BOC153621
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
Enumeration date
02/09/2021
Last updated
02/09/2021
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