Individual
JENNIFER LAUREN BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056.009713
IL
174400000X
Specialist
5201007306
MI
225X00000X
Occupational Therapist
Primary
056.009713
IL
225X00000X
Occupational Therapist
15183852
TN
225X00000X
Occupational Therapist
OT009797
GA
Other
Enumeration date
10/14/2008
Last updated
03/31/2026
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