Doctor Name: | MRS. SANDRA GAYLE BURROUGH |
NPI Number: | 1154533958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PTH1398 |
Business Practice Address: | Amedisys Home Health 1601-7th Street, North, Suite B Clanton, AL - 35045 |
Business Phone Number: | 2057555509 |
Business Fax Number: | 2057559980 |
Mailing Address: | 160 Belvedere Dr, BIRMINGHAM |
State: | AL |
Postal Code: | 352426624 |
Phone Number: | 2057908448 |
Fax Number: | 2059802528 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH1398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |