Individual
MS. MARILYN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
115 ACADEMY ST, DICKSON, TN 37055-2013
(615) 446-2085
(615) 441-4132
Mailing address
111 ROBERT PORTER RD, DICKSON, TN 37055-3318
(615) 740-1080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA0000001179
TN
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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