Doctor Name: | JENNIFER L BURKE |
NPI Number: | 1730401977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 004496 |
Business Practice Address: | 400 Ovesen Dr Wilton, IA - 527789612 |
Business Phone Number: | 5637324318 |
Business Fax Number: | |
Mailing Address: | 1490 Vandello Cir, NORTH LIBERTY |
State: | IA |
Postal Code: | 523178045 |
Phone Number: | 6413306825 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2010 |
NPI Last Update Date: | 02/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |