NPI | 1710064514 |
---|---|
Former Name | BARBARA A BURRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 1109) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VT 0400000840) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-09 |