Provider Demographics
NPI:1225208457
Name:BURMEISTER, VIRGINIA LYNN (MPT)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:LYNN
Last Name:BURMEISTER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8709 SOUTHWESTERN BLVD
Mailing Address - Street 2:APARTMENT 1622
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206
Mailing Address - Country:US
Mailing Address - Phone:504-376-3585
Mailing Address - Fax:
Practice Address - Street 1:321 NORRISTOWN ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002
Practice Address - Country:US
Practice Address - Phone:215-646-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1164383225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist