MR. Derek Lyle Burleson, LPTA

NPI #1518165026 in Guin, Alabama

Provider Information

NPI Number: 1518165026
Entity Type: Individual
Name: MR. Derek Lyle Burleson, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jul 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 251 SUNSET PL
City: Guin
State: Alabama
ZIP Code: 35563-2239
Phone: (205) 468-3331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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