Individual
PATRICIA MAE BURRAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
319 E MOORE AVE, GILBERT, AZ 85234-2363
(480) 628-0124
Mailing address
319 E MOORE AVE, GILBERT, AZ 85234-2363
(480) 628-0124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA046787
AZ
Other
Enumeration date
02/11/2014
Last updated
05/20/2022
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