Doctor Name: | MRS. CORI ANN BURCHART |
NPI Number: | 1023127065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T. |
License Number: | PT3623 |
Business Practice Address: | 5522 S Lewis Ave Tulsa, OK - 741057105 |
Business Phone Number: | 9184888285 |
Business Fax Number: | 9184888144 |
Mailing Address: | 5522 S Lewis Ave, TULSA |
State: | OK |
Postal Code: | 741057105 |
Phone Number: | 9184888285 |
Fax Number: | 9184888144 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT3623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |