Lisa Marie Burdick in Freeport - Physical Therapy Assistant
Lisa Marie Burdick - NPI 1063481653
Lisa Marie Burdick is a Physical Therapy Assistant in Freeport, Maine. Lisa Marie Burdick practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Lisa Marie Burdick is 1063481653. The last update date is 2012-02-22.
Lisa Marie Burdick's current location address is 45 Mallett Dr, Freeport, Maine. You can contact this provider via phone number 2074420325 and fax number 2074434578. The mailing address for Lisa Marie Burdick is 45 Mallett Dr, Freeport, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Burdick |
|---|---|
| Address | 45 Mallett Dr, Freeport, Maine |
| Phone Number | 2074420325 |
| Fax Number | 2074434578 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1063481653 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2012-02-22 |
Provider Mailing Address Detail
| Address | 45 Mallett Dr |
|---|---|
| City | Freeport |
| State | Maine (ME) |
| Post Code | 40321312 |
| Phone Number | 2074420325 |
| Fax Number | 2074434578 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PA2433 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 431972299 | ME | -- |
Post Comment/ Review Below
What is the Lisa Marie Burdick's 1063481653?
The Lisa Marie Burdick's NPI (National Provider Identifier) Number is 1063481653. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Marie Burdick is physically located?
The Lisa Marie Burdick is situated at the following address: 45 Mallett Dr, Freeport, ME 40321312.
What is Lisa Marie Burdick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Marie Burdick is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.
When did the Lisa Marie Burdick receive its 1063481653?
The Lisa Marie Burdick was issued its 1063481653 on 2006-03-16, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Lisa Marie Burdick most recently updated or revised?
The details related to Lisa Marie Burdick, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-22.