Individual
JAMES EARL BURTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
706 OAK GROVE ST, MOUNTAIN VIEW, AR 72560-8601
(870) 269-5835
Mailing address
2820 TIMBERLAND DR, BATESVILLE, AR 72501-7837
(479) 508-7164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1226
AR
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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