Individual
STEVEN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
514 BAY ST, HATTIESBURG, MS 39401-3933
(601) 249-9460
Mailing address
514 BAY ST, HATTIESBURG, MS 39401-3933
(601) 249-9460
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTA4516
MS
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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