Individual
LEKISHA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1336 ST. ANDREWS BLVD, PANAMA CITY, FL 32405
(850) 443-5080
Mailing address
833 WHITE CT, DAYTONA BEACH, FL 32117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 14637
FL
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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