Individual
MRS. AMY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
37 MOUNTAIN LAKES DR, WANAQUE, NJ 07465-1016
(201) 953-2443
Mailing address
37 MOUNTAIN LAKES DR, WANAQUE, NJ 07465-1016
(973) 835-2331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00167800
NJ
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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