Individual
MRS. HEATHER JOY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
115 DUMAS HILL RD, PORT CRANE, NY 13833
(607) 427-4637
Mailing address
115 DUMAS HILL RD, PORT CRANE, NY 13833-1639
(607) 427-4637
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010489-1
NY
Other
Enumeration date
10/29/2008
Last updated
09/01/2011
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