Individual
MRS. VICKIE LYNN BURCHATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
415 FOURTH AVENUE NE, GOLDEN LIVING CENTER, WATERTOWN, SD 57201
(605) 886-8431
(605) 753-7801
Mailing address
415 FOURTH AVENUE NE, GOLDEN LIVING CENTER, WATERTOWN, SD 57201
(605) 886-8431
(605) 753-7801
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
SD147A
SD
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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