Individual
MRS. JANE M BUREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
1 VA CENTER, AUGUSTA, ME 04330
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2048
ME
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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