Individual
RICHARD THOMAS BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/C
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
12726 CALIFORNIA ST, YUCAIPA, CA 92399-4786
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
844
CA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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