Individual
KATHY BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Mailing address
3101 DAKOTA DR, MOUNT VERNON, WA 98274-8902
(360) 391-2118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000198
WA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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