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1053419929
KELLY ANNE BURDETTE
MOULTON, AL
NPI
1053419929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL 660)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
-- KELLY ANNE BURDETTE lpta
300 HOSPITAL ST
MOULTON, AL 35650-1268
Phone number: 256-974-1146
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Mailing Address
-- KELLY ANNE BURDETTE lpta
806 TIPTON DR
TUSCUMBIA, AL 35674-3120
Phone number: 256-381-8408
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