Individual
MARY KATHERINE BURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E MAIN ST, LINCOLNTON, NC 28092-3449
(704) 748-0616
Mailing address
116 FOXGLOVE ST, BEAUFORT, SC 29906-3463
(704) 345-3753
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
82374
NC
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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