Doctor Name: | JENNIFER BURCH |
NPI Number: | 1083853949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT 17800 |
Business Practice Address: | 8620 Sw 184th Ter Cutler Bay, FL - 331577236 |
Business Phone Number: | 3059670605 |
Business Fax Number: | |
Mailing Address: | 8620 Sw 184th Ter, CUTLER BAY |
State: | FL |
Postal Code: | 331577236 |
Phone Number: | 3059670605 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2009 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT 17800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |