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NPI Code Detail

MEDICARE: MRS. LINDSAY CHRISTINE BURDETTE MPT

MEDICARE: MRS. LINDSAY CHRISTINE BURDETTE MPT
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
12251G0304XGeriatric Physical TherapistPT009061GA

General Provider Information

NPI Number : 1205171220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSAY CHRISTINE BURDETTE MPT
Provider Business Mailing Address
First Line : 6 FORESTAY CT
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-2080
Country : US
Telephone Number : 912-713-3612
Fax Number :
Provider Business Practice Location Address
First Line : 127 CARTER ST
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-3753
Country : US
Telephone Number : 912-756-6131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2012
Last Update Date : 12/02/2012

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