MARY BURNHAM

FORT WAYNE, IN
NPI1538371430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05006468A)
Enumeration Date2007-05-04
Last Update Date2007-07-09
Business Address
-- MARY BURNHAM PT
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
Mailing Address
-- MARY BURNHAM PT
22222 MONROEVILLE ROAD
MONROEVILLE, IN 46773
Phone number: 260-338-1241
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