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NPI Code Detail

MEDICARE: DR. JESSICA BURGER PT, DPT

MEDICARE: DR. JESSICA BURGER 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 TherapistPT017681OH

General Provider Information

NPI Number : 1023651833
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA BURGER PT, DPT
Provider Business Mailing Address
First Line : 1270 HARRISON WILLSHIRE LINE RD
Second Line :
City : OHIO CITY
State : OH
Zip : 45874-9302
Country : US
Telephone Number : 419-605-7848
Fax Number :
Provider Business Practice Location Address
First Line : 4389 MEDINA RD
Second Line :
City : COPLEY
State : OH
Zip : 44321-1388
Country : US
Telephone Number : 234-815-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2019
Last Update Date : 10/24/2019

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Directions to “ DR. JESSICA BURGER PT, DPT” Practice Location

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