Individual
GREGORY DAVID BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2019 CLEVELAND AVE, WEST LAWN, PA 19609-2003
(484) 651-4399
Mailing address
2019 CLEVELAND AVE, WEST LAWN, PA 19609-2003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306602590
VA
225200000X
Physical Therapy Assistant
Primary
TEI002994
PA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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