Carla Denise Burns

Individual provider Active NPI Physical Therapy Assistant · El Dorado, AR

NPI 1477049302 · NPPES record last updated Jul 3, 2018

Key facts

NPI
1477049302
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
222 Chula Vista Rd
El Dorado, AR 71730-2946
Phone
(870) 814-1457
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AR Yes

Addresses

Primary practice location

222 Chula Vista Rd
El Dorado, AR 71730-2946

Mailing address

222 Chula Vista Rd
El Dorado, AR 71730-2946
Phone (870) 814-1457

Other providers in El Dorado, AR

All providers in El Dorado, AR · Physical Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.