Individual
JENNIFER BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
762 DEER PARK RD, DIX HILLS, NY 11746-6221
(631) 254-0094
Mailing address
32 PEARSALL PL, DEER PARK, NY 11729-2114
(631) 487-4902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009505-1
NY
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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