Individual
JACQUELINE BURDITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001873
DE
Other
Enumeration date
06/19/2014
Last updated
05/01/2019
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