Individual
CEDRIC BURTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
17018 PRESERVE POINTE DR, LOUISVILLE, KY 40245-4740
(502) 390-1861
Mailing address
17018 PRESERVE POINTE DR, LOUISVILLE, KY 40245-4740
(502) 390-1861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
170656
KY
225XE0001X
Environmental Modification Occupational Therapist
170656
KY
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
170656
KY
225XH1200X
Hand Occupational Therapist
170656
KY
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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