Individual
ADAM WADE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7900 AIRWAYS BLVD, SOUTHAVEN, MS 38671-4113
(662) 807-4199
Mailing address
1839 MADISON AVE, MEMPHIS, TN 38104-2786
(901) 202-0735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5734
TN
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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