Provider Demographics
NPI:1184650178
Name:BURR, RICHARD ALAN (LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ALAN
Last Name:BURR
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5443
Mailing Address - Country:US
Mailing Address - Phone:781-239-5690
Mailing Address - Fax:781-239-5056
Practice Address - Street 1:FOREST ST
Practice Address - Street 2:WEBSTER CENTER/BABSON COLLEGE
Practice Address - City:BABSON PARK
Practice Address - State:MA
Practice Address - Zip Code:02457
Practice Address - Country:US
Practice Address - Phone:781-239-5690
Practice Address - Fax:781-239-5056
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer