Provider Demographics
NPI:1508875527
Name:BURTON, JOANNE C (PT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:C
Last Name:BURTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:11240 WAPLES MILL RD
Mailing Address - Street 2:STE 403
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6078
Mailing Address - Country:US
Mailing Address - Phone:703-383-6454
Mailing Address - Fax:703-810-5494
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:STE 110
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3601
Practice Address - Country:US
Practice Address - Phone:703-810-5216
Practice Address - Fax:703-810-5464
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2014-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305001612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA014158C95Medicare ID - Type Unspecified