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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYRISA BURDINE, SPECIALIST

Active Sole Proprietor

TYRISA BURDINE, SPECIALIST is a Physical Therapist Assistant healthcare provider located in LITHIA SPRINGS, Georgia. NPI 1184201782 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · LITHIA SPRINGS, GA

Registration Details

NPI Number
1184201782
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2021 (5.4001866959684 yrs)
Last Updated
Mar 28, 2021
License
CO131275 (GA)
Sole Proprietor
Yes

Practice Information

Address
351 THORNTON RD STE 118
LITHIA SPRINGS, GA, 301221589
Browse GA providers · Browse ZIP 30122
Phone
8654558410
Primary Specialty
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.