Individual
MICHAEL BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
4288 SEVERSON DR, MADISON, WI 53718-6642
(608) 221-0161
Mailing address
4288 SEVERSON DR, MADISON, WI 53718-6642
(608) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
4581-27
WI
224Z00000X
Occupational Therapy Assistant
Primary
4581-27
WI
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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