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NPI Code Detail

MEDICARE: MRS. WENDY E BURNS PT

MEDICARE: MRS. WENDY E BURNS PT
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 Therapist4370OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1388381OTHEROHANTHEM

General Provider Information

NPI Number : 1114940269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY E BURNS PT
Provider Business Mailing Address
First Line : 216 LAKECREST BLVD
Second Line :
City : HINCKLEY
State : OH
Zip : 44233-9649
Country : US
Telephone Number : 330-220-7709
Fax Number :
Provider Business Practice Location Address
First Line : 3574 CENTER RD
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3618
Country : US
Telephone Number : 440-878-2603
Fax Number : 440-878-2623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 06/16/2008

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Directions to “ MRS. WENDY E BURNS PT” Practice Location

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