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TERRELL LYNN BURKHALTER P.T.A.
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1316216591
Individual Registrant: TERRELL LYNN BURKHALTER P.T.A.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
317 W 3RD ST SUITE 100 LA JUNTA, CO 81050-1401 US
Tel: 719-383-0990 Fax: --
Tel: 719-383-0990 Fax: --
Contact information for business:
1821 RATON AVE LA JUNTA, CO 81050-3424 US
Tel: 719-469-6573 Fax: --
Tel: 719-469-6573 Fax: --
Registration Information:
NPI: 1316216591
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
