Individual
MRS. JULIE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
400 BROAD ST, GREENFIELD, MO 65661-1405
(417) 637-5315
Mailing address
4280 S 43RD RD, FAIR PLAY, MO 65649-9307
(417) 654-8042
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005140
MO
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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