Individual
MRS. HESTER CHARLOTTE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
96555 ALDER RIDGE RD, BROOKINGS, OR 97415-8190
(541) 469-0540
Mailing address
96555 ALDER RIDGE RD, BROOKINGS, OR 97415-8190
(541) 469-0540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
986365
OR
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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