Individual
CAREN BETH BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2586 BUTHMANN AVE, TRACY, CA 95376-2165
(209) 832-2273
Mailing address
2586 BUTHMANN AVE, TRACY, CA 95376-2165
(209) 832-2273
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA671
CA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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