Individual
STEPHANIE MARIE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
59 SUMMER ST, REHOBOTH, MA 02769-2221
(508) 252-5814
Mailing address
240 HIGH ST APT C12, TAUNTON, MA 02780-3520
(508) 821-6600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4542
MA
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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