Individual
MICHAEL ANTHONY BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
901 ENTERPRISE PKWY, SUITE 900, HAMPTON, VA 23666-6249
(757) 827-2480
(757) 827-2566
Mailing address
901 ENTERPRISE PKWY, SUITE 900, HAMPTON, VA 23666-6249
(757) 827-2480
(757) 827-2566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005832
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01305728
RAILROAD MEDICARE
VA
Enumeration date
01/30/2013
Last updated
08/20/2015
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