Provider Demographics
NPI:1043461254
Name:BURESH, ELIZABETH DAY (PT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DAY
Last Name:BURESH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6117 OAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SLATINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18080-3119
Mailing Address - Country:US
Mailing Address - Phone:610-760-9976
Mailing Address - Fax:
Practice Address - Street 1:6117 OAKWOOD LN
Practice Address - Street 2:
Practice Address - City:SLATINGTON
Practice Address - State:PA
Practice Address - Zip Code:18080-3119
Practice Address - Country:US
Practice Address - Phone:610-760-9976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006195L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist