Individual
GAIL L BURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
(276) 669-0834
Mailing address
121 EZEE ST, ELIZABETHTON, TN 37643-3848
(423) 543-8703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2191
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000188
TN LICENSE NUMBER
TN
01
—
2191
VA LICENSE NUMBER
VA
Enumeration date
09/24/2006
Last updated
07/08/2007
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