Doctor Name: | MR. WILLIAM F. BURKE |
NPI Number: | 1710993597 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, NHA, MBA |
License Number: | 005941 |
Business Practice Address: | 70 Rosewood Dr Suffield, CT - 060782014 |
Business Phone Number: | 8606043644 |
Business Fax Number: | |
Mailing Address: | 70 Rosewood Dr, SUFFIELD |
State: | CT |
Postal Code: | 060782014 |
Phone Number: | 8606043644 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 005941 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |