Individual provider · NPI-1
Rebecca Burroughs, PTA., CMT
Physical Therapy Assistant · Richmond, VA
NPI number1801249248
StatusActive
Last updated in NPPESJul 26, 2016
Details
- NPI
- 1801249248
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Burroughs
- Credential
- PTA., CMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2016
- Last updated
- Jul 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2306604526 | VA | Yes |
| 225700000X | Massage Therapist | 0019013673 | VA |
Practice location
211 W Broad StSte 101
Richmond, VA 23220-4216
Phone 804-288-3025 · Fax 804-288-3029
Mailing address
5252 Lyngate CtSte 203
Burke, VA 22015-1672
Phone 703-239-2300 · Fax 703-239-2301
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