Individual
ELICIA ERIN BURBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
675 WAGNER DR, BATTLE CREEK, MI 49017-5721
(269) 969-6244
Mailing address
675 WAGNER DR, BATTLE CREEK, MI 49017-5721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010642
MI
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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