Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT009061 | GA |
NPI | 1205171220 |
---|---|
Provider Name | Mrs. Lindsay Christine Burdette |
First Address | Savannah, GA 31410-2080 |
Second Address | Richmond Hill, GA 31324-3753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2012 |
Last Update Date | 02/12/2012 |