Provider Demographics
NPI:1437486818
Name:BURTON, FRANK ALLEN (MPT)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ALLEN
Last Name:BURTON
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22639 BLUE BIRD LN
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-8649
Mailing Address - Country:US
Mailing Address - Phone:405-742-6196
Mailing Address - Fax:918-647-0405
Practice Address - Street 1:24456 KERR RD
Practice Address - Street 2:
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-8163
Practice Address - Country:US
Practice Address - Phone:918-649-0405
Practice Address - Fax:918-647-0403
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4108225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist