Individual
JOLENE MICHELE BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14 WESTPORT AVE, NORWALK, CT 06851-3915
(800) 860-6656
Mailing address
30 WESTFIELD RD, MILFORD, CT 06461-2357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003953
CT
225XP0200X
Pediatric Occupational Therapist
3953
CT
Other
Enumeration date
09/04/2012
Last updated
09/20/2022
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