Individual
MRS. SUZANNE SCHMOLL BURKARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHT/OT
Contact information
Practice address
1459 CHURCH RD, MALVERN, PA 19355-9710
(610) 407-0204
Mailing address
1459 CHURCH RD, MALVERN, PA 19355-9710
(610) 407-0204
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC001538L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123789000
IBC
PA
01
—
11443178
CAQH
PA
01
—
3837010
AETNA
PA
Enumeration date
03/09/2006
Last updated
04/27/2009
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