MEDICARE: ASHLEY BURIN 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
1	225100000X	Physical Therapist	PT008155	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT008155	OTHER	GA	STATE LISC NUMBER

General Provider Information

NPI Number	:	1508945957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BURIN DPT

Provider Business Mailing Address
First Line	:	33900 HARPER AVE STE 104
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-4258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2168 HIGHWAY 20 W
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-7205
Country	:	US
Telephone Number	:	470-944-7550
Fax Number	:	470-944-7551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	03/24/2026

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Directions to “ ASHLEY BURIN DPT” Practice Location

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