Individual
JAMIE DAWN BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1025 SOUTH BEACH STREET, APARTMENT 110, DAYTONA BEACH, FL 32114-6200
(386) 265-3428
Mailing address
1025 S BEACH ST, APARTMENT 110, DAYTONA BEACH, FL 32114-6200
(386) 265-3428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12156
FM
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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