Individual
MATTHEW BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
236 HOUSTON AVE, PERRYVILLE, AR 72126-8568
(501) 889-1900
Mailing address
PO BOX 11226, CONWAY, AR 72034-0022
(501) 889-1900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5069
AR
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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