Provider Demographics
NPI:1629259908
Name:BURR, DONNA B (LMT)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:B
Last Name:BURR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 MORVEN RD
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170-3701
Mailing Address - Country:US
Mailing Address - Phone:910-995-7941
Mailing Address - Fax:866-481-8357
Practice Address - Street 1:1707 MORVEN RD
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-3701
Practice Address - Country:US
Practice Address - Phone:910-995-7941
Practice Address - Fax:866-481-8357
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1756225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist