Doctor Name: | MR. SCOTT ALAN BURBARY |
NPI Number: | 1679799704 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 5501006177 |
Business Practice Address: | 7508 M E Cad Blvd Suite A Clarkston, MI - 483484281 |
Business Phone Number: | 2489229200 |
Business Fax Number: | 2489229700 |
Mailing Address: | 7795 Kingston Ct, CLARKSTON |
State: | MI |
Postal Code: | 483484193 |
Phone Number: | 2489397775 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501006177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |