Individual
MR. JEREMY T BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
40 BUTTERCUP DR, SOMERVILLE, TN 38068-6911
(901) 734-4217
Mailing address
40 BUTTERCUP DR, SOMERVILLE, TN 38068-6911
(901) 734-4217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2304
TN
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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