Individual
LAURA J. BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L & CMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
882
SD
225X00000X
Occupational Therapist
Primary
0025
SD
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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