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Individual
MARY ALICE K BURTNETT
Active
Individual
MARY ALICE K BURTNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0000002966
TN
225X00000X
Occupational Therapist
0119003255
VA
225X00000X
Occupational Therapist
04421
MD
225X00000X
Occupational Therapist
0650
NV
225X00000X
Occupational Therapist
111416
TX
225X00000X
Occupational Therapist
3822
AZ
225X00000X
Occupational Therapist
Primary
OC005814L
PA
225X00000X
Occupational Therapist
OT003788
GA
225X00000X
Occupational Therapist
OT9254
CA
Other
Enumeration date
05/11/2007
Last updated
11/02/2011
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