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Individual

MISS YOLANDA LASHAE BURKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, CLT

Contact information

Practice address
3708 MAYFAIR ST STE 120, DURHAM, NC 27707-6223
(919) 889-6511
Mailing address
1716 WADDELL CT, DURHAM, NC 27703-8330
(919) 889-6511

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5815
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5815
NC OT LICENSE
NC
Enumeration date
10/06/2008
Last updated
03/07/2025
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