Individual
SHIRA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 CAIN RD, FAYETTEVILLE, NC 28303-3078
(910) 822-3490
Mailing address
153 LOTUS LN, SANFORD, NC 27332-0601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10850
NC
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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