Individual
SAMANTHA BURSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2860
(423) 928-6464
(423) 232-7970
Mailing address
PO BOX 191, JOHNSON CITY, TN 37605-0191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14781
TN
225100000X
Physical Therapist
Primary
CP019233T
VA
Other
Enumeration date
05/10/2023
Last updated
04/01/2025
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