ANDI BURGESS
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1881551802- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 36301 LAKE RD, SHAWNEE, OK, 748012321
- Phone
- (405) 765-2624
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OK #3961