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Individual
MRS. KATIE JO BURNHAM
Active
Individual
MRS. KATIE JO BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4822
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009504
—
WI
Enumeration date
04/13/2010
Last updated
06/24/2024
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