Individual
BETTINA BOURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
424 E CENTRAL BLVD, STE 378, ORLANDO, FL 32801-1923
(407) 219-4367
Mailing address
328 WISCONSIN AVE APT 2D, OAK PARK, IL 60302-3413
(407) 219-4367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011398
IL
225X00000X
Occupational Therapist
112621
TX
225X00000X
Occupational Therapist
14270
FL
Other
Enumeration date
06/18/2010
Last updated
06/09/2017
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