DEREK LYLE BURLESON

GUIN, AL
NPI1518165026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA 1344)
Enumeration Date2007-07-05
Last Update Date2007-07-08
Business Address
Mr. DEREK LYLE BURLESON LPTA
251 SUNSET PL
GUIN, AL 35563-2239
Phone number: 205-468-3331
Mailing Address
Mr. DEREK LYLE BURLESON LPTA
12297 POUNDERS AND SIMS RD
HALEYVILLE, AL 35565-6568
Phone number: 205-485-2552
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