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Individual

ANNDREA BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1685 EATON ST, LAKEWOOD, CO 80214-1628
(303) 232-4405
Mailing address
3960 W 112TH AVE UNIT 203, WESTMINSTER, CO 80031-2173

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014202
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA.0014202
PTA LICENSE
CO
Enumeration date
08/17/2017
Last updated
08/17/2017
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