Doctor Name: | MR. RYAN MATTHEW BURKE |
NPI Number: | 1447503537 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 20170 |
Business Practice Address: | 110 Florence Street Suite 104 Malden, MA - 02148 |
Business Phone Number: | 7813217000 |
Business Fax Number: | 7813229678 |
Mailing Address: | 110 Florence Street, Suite 104 MALDEN |
State: | MA |
Postal Code: | 02148 |
Phone Number: | 7813217000 |
Fax Number: | 7813229678 |
NPI Enumeration Date: | 10/26/2012 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |