Individual
JENNIFER G BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
509 HIGHVIEW CIR, CHATTANOOGA, TN 37415-2910
(423) 280-1524
(423) 875-2908
Mailing address
509 HIGHVIEW CIR, CHATTANOOGA, TN 37415-2910
(423) 280-1524
(423) 875-2908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 02430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3656354
—
TN
Enumeration date
10/20/2005
Last updated
11/16/2011
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