Individual
MRS. CYBIL LEIGH BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
255 MEADOW DR, DANVILLE, IN 46122-1415
(317) 745-0505
Mailing address
1867 W GORDON RD, MOORESVILLE, IN 46158-6794
(317) 996-3774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001485A
IN
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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