Individual
KRISTEN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ATLANTIC AVE, OCEAN VIEW, DE 19970-9155
(919) 258-2714
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0004112
DE
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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