Individual
MRS. BRIANA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
850 12TH AVE, FORT WORTH, TX 76104-2516
(817) 882-8289
Mailing address
850 12TH AVE, FORT WORTH, TX 76104-2516
(817) 882-8289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
208637
TX
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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