Individual
LISA A BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
304 W 7TH ST, WELLSVILLE, KS 66092-7800
(615) 896-6400
Mailing address
19545 SUNFLOWER RD, EDGERTON, KS 66021-9776
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800451
KS
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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