Individual
MARY BURGGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 380-8000
Mailing address
100 E HUNTER ST, LOGAN, OH 43138-1322
(740) 385-7412
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2888
OH
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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