ADAM WADE BURCH

SOUTHAVEN, MS
NPI1922841832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  5734)
Enumeration Date2024-06-18
Last Update Date2024-06-18
Business Address
ADAM WADE BURCH PTA
7900 AIRWAYS BLVD
SOUTHAVEN, MS 38671-4113
Phone number: 662-807-4199
Mailing Address
ADAM WADE BURCH PTA
1839 MADISON AVE
MEMPHIS, TN 38104-2786
Phone number: 901-202-0735