Individual
JEANETTE E BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA,L
Contact information
Practice address
1245 QUINLAN CT, COLORADO SPRINGS, CO 80911-3816
(719) 323-8082
Mailing address
1245 QUINLAN CT, COLORADO SPRINGS, CO 80911-3816
(719) 323-8082
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001409
CO
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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