MRS. Myra Marie Burkhardt, PT

NPI #1992813117 in West Salem, Wisconsin

Provider Information

NPI Number
1992813117
Entity Type
Individual
Name
MRS. Myra Marie Burkhardt, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 28, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1540 HERITAGE BLVD
Address 2
SUITE 101A
ZIP Code
54669-1417
Phone
(608) 786-4989

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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