Lisa Marie Burgos, PTA

NPI #1992268866 in Holbrook, New York

Provider Information

NPI Number: 1992268866
Entity Type: Individual
Name: Lisa Marie Burgos, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 8, 2019
Last Updated: Apr 8, 2019

Practice Location

Address: 357 SILVA ST
City: Holbrook
State: New York
ZIP Code: 11741-2911
Phone: (631) 767-1372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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