Individual
DANIELLE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
431 ENCLAVE CIR APT 307, COSTA MESA, CA 92626-7086
(781) 258-3462
Mailing address
431 ENCLAVE CIR APT 307, COSTA MESA, CA 92626-7086
(781) 258-3462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
04/19/2019
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