Individual
SALLY ELIZABETH BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 N MILITARY RD, SLIDELL, LA 70461-1624
(985) 641-2996
(985) 639-8014
Mailing address
42 BURK STATION RD, CARRIERE, MS 39426-7035
(601) 799-0248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00620
LA
225100000X
Physical Therapist
MS1475
MS
Other
Enumeration date
10/12/2006
Last updated
07/30/2013
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