Individual
CAROL A BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2175 CHALMETTE DR, TOLEDO, OH 43611-1658
(419) 346-1064
Mailing address
2175 CHALMETTE DR, TOLEDO, OH 43611-1658
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1450
OH
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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