SearchVirginia225200000X

Jesse Burden, P.T.A

NPI 1205039328 · on the registry since 2007 · sole proprietor

Practice

Address
806 Zircon Ct
Virginia Beach, VA 23462
Phone
(757) 215-6836

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
GA, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia