Individual
CAITLYN R BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12311 ASHLEY DR STE A, GULFPORT, MS 39503-2950
(662) 349-8787
(662) 349-8757
Mailing address
12311 ASHLEY DR STE A, GULFPORT, MS 39503-2950
(662) 349-8787
(662) 349-8757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3368
MS
Other
Enumeration date
07/06/2017
Last updated
03/18/2022
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