Jonathan Lyle Burlingame

NPI #1093382707 in Park Rapids, Minnesota

Provider Information

NPI Number: 1093382707
Entity Type: Individual
Name: Jonathan Lyle Burlingame
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 10, 2021
Last Updated: Jan 29, 2024

Practice Location

Address: 1006 CROCUS HILL ST E
City: Park Rapids
State: Minnesota
ZIP Code: 56470-5419
Phone: (218) 366-8469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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