Individual
MR. GARY LEONARD BURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
255 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
(304) 455-2580
Mailing address
255 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
(304) 455-2580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1021
WV
Other
Enumeration date
11/22/2012
Last updated
02/28/2013
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