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NPI Code Detail

MEDICARE: EMILY W BURNETTE DPT

MEDICARE: EMILY W BURNETTE 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 TherapistPTH7934AL

General Provider Information

NPI Number : 1316306046
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY W BURNETTE DPT
Provider Business Mailing Address
First Line : 2030 LAY DAM RD
Second Line :
City : CLANTON
State : AL
Zip : 35045-8344
Country : US
Telephone Number : 205-755-6110
Fax Number : 205-876-8063
Provider Business Practice Location Address
First Line : 2030 LAY DAM RD
Second Line :
City : CLANTON
State : AL
Zip : 35045-8344
Country : US
Telephone Number : 205-755-6110
Fax Number : 205-683-2468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 05/13/2021

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Directions to “ EMILY W BURNETTE DPT” Practice Location

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