Individual
FAY BURGESS-BACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
5 WYMAN RD, LEXINGTON, MA 02420-3237
(347) 307-0249
Mailing address
5 WYMAN RD, LEXINGTON, MA 02420-3237
(347) 307-0249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9620
MA
Other
Enumeration date
05/08/2008
Last updated
03/19/2013
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