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NPI Code Detail

MEDICARE: MAGGIE BURNS DPT

MEDICARE: MAGGIE BURNS DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianPT022280PA
2225100000XPhysical Therapist12846MT
3225100000XPhysical TherapistPT020191OH

General Provider Information

NPI Number : 1184975567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE BURNS DPT
Provider Business Mailing Address
First Line : 6480 HARRISON AVE STE 201
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 513-713-1779
Fax Number :
Provider Business Practice Location Address
First Line : 7277 SMITHS MILL RD STE 200
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-8195
Country : US
Telephone Number : 614-221-6331
Fax Number : 614-221-9042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2012
Last Update Date : 03/10/2023

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Directions to “ MAGGIE BURNS DPT” Practice Location

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