Individual
MARJORIE ARLENE BURNISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
4500 STUART AVE, MACH-OCCUPATIONAL THERAPY, COLUMBIA, SC 29207-5700
(803) 751-2377
(803) 751-2281
Mailing address
840 SPARKLEBERRY LN, APARTMENT 902, COLUMBIA, SC 29229-6562
(503) 701-8611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1052718
OR
Other
Enumeration date
04/26/2006
Last updated
11/19/2012
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