Organization
SUNBURST THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINE BRADLEY (OTRL)
(505) 324-0542
Entity
Organization
Contact information
Practice address
380 CANYONVIEW DR, FARMINGTON, NM 87401-8630
(505) 324-0542
(505) 324-0542
Mailing address
380 CANYONVIEW DR, FARMINGTON, NM 87401-8630
(505) 324-0542
(505) 324-0542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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