LEVI BURTON SOUTHERN

BEL AIRE, KS
NPI1922390871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2011-05-11
Last Update Date2011-05-11
Business Address
-- LEVI BURTON SOUTHERN
6528 E ODESSA ST
BEL AIRE, KS 67226-1413
Phone number: 316-744-3892
Mailing Address
-- LEVI BURTON SOUTHERN
6528 E ODESSA ST
BEL AIRE, KS 67226-1413
Phone number: 316-744-3892