Individual
SANDY BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5050 W 36TH ST, SUITE 100, ST LOUIS PARK, MN 55416-5469
(612) 920-1092
(612) 928-0375
Mailing address
5050 W 36TH ST, SUITE 100, ST LOUIS PARK, MN 55416-5469
(612) 920-1092
(612) 928-0375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102227
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376T1BU
BCBS ID #
MN
Enumeration date
11/06/2006
Last updated
07/08/2007
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