Individual
KIMBERLY MCKENNA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3906 KRISTA LN, HAYES, VA 23072-2714
(856) 981-5105
Mailing address
3906 KRISTA LN, HAYES, VA 23072-2714
(856) 981-5105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002523
VA
224Z00000X
Occupational Therapy Assistant
46TA09179200
NJ
224Z00000X
Occupational Therapy Assistant
OP009663
PA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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