ETHAN BURKE

COPPOLA PHYSICAL THERAPY AND FITNESS GYM LLC

Dr ETHAN BURKE is a male medical professional, specializing in Physical Therapy. He graduated in 2019.

Contact

COPPOLA PHYSICAL THERAPY AND FITNESS GYM LLC

143 RAYMOND RD
UNIT 8
CANDIA
NH
030342133

Tel: 6034833355

ETHAN BURKE Information

Npi 1215592910
Pac Id 7911232046
Professional Enrollment Id I20190711003170
Last Name BURKE
First Name ETHAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2019
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COPPOLA PHYSICAL THERAPY AND FITNESS GYM LLC
Group Practice Pac Id 0345393302
Number Of Group Practice Members 13
Line 1 Street Address 143 RAYMOND RD
Line 2 Street Address UNIT 8
Marker Of Address Line 2 Suppression
City CANDIA
State NH
Zip Code 030342133
Phone Number 6034833355
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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