Individual
MRS. JOAN LESLIE BURDITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 MIDDLEFORD ROAD, SEAFORD, DE 19960
(302) 629-6611
Mailing address
79 MAIN ST, FARMINGTON, DE 19950-2100
(302) 398-0146
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
U2-0000334
DE
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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