Organization
BURCHETT ENTERPRISES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA DENISE BURCHETT OTR/L (OWNER)
(509) 413-1630
Entity
Organization
Contact information
Practice address
12012 E MISSION AVE, SPOKANE VALLEY, WA 99206-4887
(509) 413-1630
(509) 413-1673
Mailing address
12012 E MISSION AVE, SPOKANE VALLEY, WA 99206-4887
(509) 413-1630
(509) 413-1673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
602808055
WA
225X00000X
Occupational Therapist
602808055
WA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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