Individual
MERCEDES JOANNE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9090 YANK GULCH RD, TALENT, OR 97540-7773
(541) 601-0946
(541) 535-1655
Mailing address
9090 YANK GULCH RD, TALENT, OR 97540-7773
(541) 601-0946
(541) 535-1655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
286344
OR
225XP0019X
Physical Rehabilitation Occupational Therapist
286344
OR
Other
Enumeration date
11/22/2006
Last updated
03/08/2019
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