Individual
CLARISSA D BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
199 FRONTIER TRL, POCAHONTAS, AR 72455-1379
(870) 926-9076
(870) 892-9156
Mailing address
199 FRONTIER TRL, POCAHONTAS, AR 72455-1379
(870) 926-9076
(870) 892-9156
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OT2015-026
AR
Other
Enumeration date
10/21/2008
Last updated
08/07/2015
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