Most Relevant Information
Provider Data
| NPI Number: | 1003336678 |
| Provider Name: | THERESA BURBINE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 4507 |
Most Important Dates
| Enumeration Date: | 06/23/2017 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
30 MAN MAR DR
PLAINVILLE
MA
027622271
Practice Location Phone/Fax
| Phone: | 5086956848 |
| Fax: |
Provider Mailing Location
5 N MEADOWS RD
MEDFIELD
MA
020522317
Provider Mailing Phone/Fax
| Phone: | 5083594532 |
| Fax: | 5083590198 |