Organization
JEANNETTE E. BURG
Active
Other names
Occupational Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETT BURG PHD (OWNER)
(281) 446-0371
Entity
Organization
Contact information
Practice address
9810 FM 1960 BYPASS RD W, # 190, HUMBLE, TX 77338-3522
(281) 446-0371
(281) 446-4299
Mailing address
9810 FM 1960 BYPASS RD W, # 190, HUMBLE, TX 77338-3522
(281) 446-0371
(281) 446-4299
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184435901
—
TX
Enumeration date
06/23/2006
Last updated
07/31/2009
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