Individual
KEENYA BURRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
(909) 586-0509
Mailing address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
CA
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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