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Individual

NICOLE A. BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
105 NEWTOWN RD # A, SUITE 5, DANBURY, CT 06810-4114
(203) 739-0765
(203) 739-0792
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003183
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130003183
ANTHEM BC
CT
Enumeration date
06/12/2007
Last updated
10/07/2008
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