Individual
MOLLY ELIZABETH BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6209 BROOKS BARTRAM DR BLDG 100, JACKSONVILLE, FL 32258-5605
(904) 528-3010
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20161
FL
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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