Individual
JEAN C. BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1801 W SCREVEN ST, QUITMAN, GA 31643-3620
(229) 263-7868
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004373
GA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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