Individual
FLORELYN OLAVIDEZ BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6229 JACKSTAFF DR, FORT WORTH, TX 76179-1171
(201) 936-2414
Mailing address
6229 JACKSTAFF DR, FORT WORTH, TX 76179-1171
(201) 936-2414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117959
TX
225X00000X
Occupational Therapist
46TR00468400
NJ
Other
Enumeration date
07/29/2009
Last updated
07/22/2025
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