Individual
MRS. LEEANNA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
810 E WALNUT ST, INDEPENDENCE, MO 64050-4025
(816) 461-9600
Mailing address
810 E WALNUT ST, INDEPENDENCE, MO 64050-4025
(816) 461-9600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117620
MO
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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