Individual
JESSAMY KAYE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4614 84TH ST, URBANDALE, IA 50322-1089
(515) 270-6838
(515) 270-8051
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002060
IA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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