Burrell, Serena

Burrell, Serena is an individual health care provider with primary practice located at 1940 Bedford Rd , Bedford TX 76021-5707. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Burrell, Serena can be contacted via phone (580) 816-0168.

Contact Information

Primary practice address
1940 Bedford Rd Bedford TX 76021-5707
Phone: (580) 816-0168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2115259 Texas

Profile Details

NPI number 1053941559
LBN Legal business name Burrell, Serena
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2020
Last updated Jan 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053941559 NPPES
Texas MEDICAID 2115259

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