Individual
IAN MICHAEL BURROWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6100 W FRIENDLY AVE, GREENSBORO, NC 27410-4160
(336) 369-2581
Mailing address
15 LEEDS CT, MEBANE, NC 27302-9107
(814) 806-5777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9643
NC
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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