Individual
ERIC S BURBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
901 N CURTIS RD STE 304, BOISE, ID 83706-1341
(208) 342-4263
(208) 375-0597
Mailing address
901 N CURTIS RD STE 304, BOISE, ID 83706-1341
(208) 342-4263
(208) 375-0597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT461
ID
225XH1200X
Hand Occupational Therapist
Primary
OT-461
ID
Other
Enumeration date
11/06/2006
Last updated
06/05/2020
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