| NPI | 1598006785 |
|---|---|
| Former Name | JEANINE MARIE BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213125) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036084-1) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2021-01-21 |