Individual
TRACI MICHELLE BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
519 LATHAM DR, SCHMIEDING KIDS FIRST, LOWELL, AR 72745-8360
(479) 750-0130
Mailing address
1845 N ALBANY LN, FAYETTEVILLE, AR 72704-5380
(704) 995-0068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A574
AR
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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