Individual
ERICA BURKHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
676 CONGRESS ST, VAN WERT, OH 45891-2214
(419) 203-7791
Mailing address
676 CONGRESS ST, VAN WERT, OH 45891-2214
(419) 203-7791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346405718
PAULDING COUNTY HOSPITAL
—
Enumeration date
05/30/2020
Last updated
05/30/2020
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