Jana B Burge
Physical Therapist in Picayune, MS. Individual provider (NPI-1).
NPI number1356944094
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1356944094
- Entity type
- Individual (NPI-1)
- Name
- Jana B Burge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT7011 | MS | Yes |
Practice location
110 Mitchell StPicayune, MS 39466-4538
Phone 601-749-8145 · Fax 601-749-8147
Mailing address
110 Mitchell StPicayune, MS 39466-4538
Phone 601-749-8145 · Fax 601-749-8147
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