Individual
AMANDA RENEE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2100 EXETER RD, GERMANTOWN, TN 38138-3966
(901) 385-3877
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3896
TN
Other
Enumeration date
09/29/2015
Last updated
10/19/2016
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