Levi Burton Southern

NPI #1922390871 in Bel Aire, Kansas

Provider Information

NPI Number: 1922390871
Entity Type: Individual
Name: Levi Burton Southern
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 11, 2011
Last Updated: May 11, 2011

Practice Location

Address: 6528 E ODESSA ST
City: Bel Aire
State: Kansas
ZIP Code: 67226-1413
Phone: (316) 744-3892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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