Individual
MR. RICHARD BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
275 COMMONWEALTH DR, GREENVILLE, SC 29615-4814
(864) 297-9908
Mailing address
275 COMMONWEALTH DR, GREENVILLE, SC 29615-4814
(864) 297-9908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1862
SC
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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