Individual
SHARDAE RENEE BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1400 E 45TH ST., CLEVELAND, OH 44103-1116
(216) 856-1962
Mailing address
1400 E 45TH ST., CLEVELAND, OH 44103
(216) 856-1962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008916
OH
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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