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Individual
SHAUNA DENISE BURCHETT
Active
Individual
SHAUNA DENISE BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT00002144
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158028
LABOR AND INDUSTRIES
WA
01
—
6227BU
ASURIS-REGENCE
WA
05
—
8354177
—
WA
01
—
A002
TRICARE
WA
Enumeration date
12/01/2006
Last updated
07/08/2007
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