Individual
PATRICIA A BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3135
(618) 798-3505
Mailing address
112 AUTUMN PINE DR, APT 6, FAIRVIEW HEIGHTS, IL 62208-2944
(618) 798-9313
(618) 798-3505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000743
IL
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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