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NPI Code Detail

MEDICARE: CONCEPCION H BURNS RPT

MEDICARE:   CONCEPCION H BURNS  RPT
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 Therapist3018OK

General Provider Information

NPI Number : 1467663062
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONCEPCION H BURNS RPT
Provider Business Mailing Address
First Line : 7728 E 87TH PL
Second Line :
City : TULSA
State : OK
Zip : 74133-4813
Country : US
Telephone Number : 918-459-3838
Fax Number :
Provider Business Practice Location Address
First Line : 6600 S YALE AVE STE 200
Second Line :
City : TULSA
State : OK
Zip : 74136-3359
Country : US
Telephone Number : 918-488-6888
Fax Number : 918-488-6869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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Directions to “ CONCEPCION H BURNS RPT” Practice Location

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