Individual
JACQUELINE L BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
642 N 3RD ST, DANVILLE, KY 40422-1125
(859) 612-1311
Mailing address
312 JIM FORSYTHE LN, HARRODSBURG, KY 40330-8964
(859) 612-1311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005490A
IN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/30/2013
Last updated
02/19/2025
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