Individual
WANDA CHESTNUT BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED COTA
Contact information
Practice address
205 EMERALD POND LN, DURHAM, NC 27705-6051
(919) 493-4713
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5086
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7393
NC
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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