Individual
DUSTIN ELIZABETH BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2160 ZINNIA LN, LIBERAL, KS 67901-2042
(620) 624-3831
Mailing address
1110 N HOLLY DR, LIBERAL, KS 67901-2010
(713) 828-1322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01514
KS
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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