Most Relevant Information
Provider Data
NPI Number: | 1003597105 |
Provider Name: | JOHN BURGESS PT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 1097905 |
Most Important Dates
Enumeration Date: | 07/31/2023 |
Last Updated: | 07/31/2023 |
Provider Practice Location
650 S GREENVILLE AVE
ALLEN
TX
750023037
Practice Location Phone/Fax
Phone: | 8774073422 |
Fax: | 8774074329 |
Provider Mailing Location
7 CARNEGIE PLZ
CHERRY HILL
NJ
080031000
Provider Mailing Phone/Fax
Phone: | 8774073422 |
Fax: | 8774074329 |