Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 043365 | NY |
N | 2251S0007X | Physical Therapist - Sports | 043365 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 043365 | NY |
NPI | 1417438920 |
---|---|
Provider Name | Claire E Burdett |
First Address | Rochester, NY 14624-1369 |
Second Address | Webster, NY 14580-2119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2018 |
Last Update Date | 10/05/2021 |