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NPI Code Detail

MEDICARE: MRS. CINDY L BURRITT PTA

MEDICARE:  MRS. CINDY L BURRITT  PTA
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 TherapistJ20000506DE

General Provider Information

NPI Number : 1982720603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CINDY L BURRITT PTA
Provider Business Mailing Address
First Line : 417 N HIGH STREET EXTENDED
Second Line :
City : SMYRNA
State : DE
Zip : 19977-1165
Country : US
Telephone Number : 302-659-0987
Fax Number :
Provider Business Practice Location Address
First Line : 1080 SILVER LAKE BLVD
Second Line :
City : DOVER
State : DE
Zip : 19904-2410
Country : US
Telephone Number : 302-734-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CINDY L BURRITT PTA” Practice Location

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