Individual
JACQUELINE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 SUMMIT GLEN RD, DAYTON, OH 45449-3647
(937) 436-2273
Mailing address
2903 ARMEN AVE, DAYTON, OH 45432-3701
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02873
OH
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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