Individual
IRINA BURSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7212 BALSON AVE, SAINT LOUIS, MO 63130-3001
(314) 726-5600
(314) 754-9317
Mailing address
7212 BALSON AVE, SAINT LOUIS, MO 63130-3001
(314) 726-5600
(314) 754-9317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005166
MO
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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