Individual
LAINE MAKENZIE BURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 HOPE LANDING, P.O. BOX 10215, EL DORADO, AR 71730
(870) 862-0500
(870) 862-2100
Mailing address
7957 STRONG HWY, STRONG, AR 71765
(870) 814-3385
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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