Organization Name: | BURKE PHYSICAL THERAPY |
NPI Number: | 1053612978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BELINDA BROWNELL (FOUNDER, PT, OWNER) |
Mailing Address: | 23 Alpine Lane #9 East Burke |
State: | VT US |
Postal Code: | 05832 |
Phone Number: | 9708468832 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |