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Kevin Burciaga

Physical Therapist in Weatherford, TX. Individual provider (NPI-1).

NPI number1649635970
StatusActive
Last updated in NPPESNov 5, 2024

Details

NPI
1649635970
Entity type
Individual (NPI-1)
Name
Kevin Burciaga
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 31, 2015
Certification date
Oct 31, 2024
Last updated
Nov 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1261339TXYes
225100000X Physical Therapist11965AZ

Practice location

1910 Clear Creek Dr
Weatherford, TX 76087-3803

Phone 904-445-7754

Mailing address

1910 Clear Creek Dr
Weatherford, TX 76087-3803

Phone 904-445-7754

Other practice locations

3123 Fm 1960 Rd E Ste 3123a
Humble, TX 77338-5325

Phone 832-581-4323 · Fax 832-581-4355

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