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NPI Code Detail

MEDICARE: FRANCINE D BURGESS DPT

MEDICARE:   FRANCINE D BURGESS  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 Therapist5501017672MI

General Provider Information

NPI Number : 1437642600
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCINE D BURGESS DPT
Provider Business Mailing Address
First Line : 2025 ORLEANS ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-2738
Country : US
Telephone Number : 313-600-9274
Fax Number :
Provider Business Practice Location Address
First Line : 2025 ORLEANS ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-2738
Country : US
Telephone Number : 313-600-9274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 06/12/2018

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Directions to “ FRANCINE D BURGESS DPT” Practice Location

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