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NPI Code Detail

MEDICARE: CHRISTOPHER JAMES BURKE PT, DPT

MEDICARE:   CHRISTOPHER JAMES BURKE  PT, 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
1225100000XPhysical Therapist300953CA

General Provider Information

NPI Number : 1346904869
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JAMES BURKE PT, DPT
Provider Business Mailing Address
First Line : 4037 RHODA WAY
Second Line :
City : CONCORD
State : CA
Zip : 94518-1735
Country : US
Telephone Number : 925-787-4232
Fax Number :
Provider Business Practice Location Address
First Line : 1050 SAN MIGUEL RD
Second Line :
City : CONCORD
State : CA
Zip : 94518-2094
Country : US
Telephone Number : 925-825-4280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2021
Last Update Date : 10/30/2021

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