Individual
MS. TERI ELLEN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
11301 WILSHIRE BLVD, ROOM 1275, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4935
Mailing address
11645 MONTANA AVE, #308, LOS ANGELES, CA 90049-4663
(310) 471-6821
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
2141
CA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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