Individual provider · NPI-1
Vickie Anne Burleson, OTR, CHT
Occupational Therapist, Hand · Saint Clair Shores, MI
NPI number1326263229
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1326263229
- Entity type
- Individual (NPI-1)
- Name
- Vickie Anne Burleson
- Credential
- OTR, CHT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XH1200X | Occupational Therapist, Hand | 5201001070 | MI | Yes |
Practice location
19601 E 8 Mile RdSaint Clair Shores, MI 48080-1655
Phone 586-771-6084 · Fax 586-771-6702
Mailing address
19601 E 8 Mile RdSaint Clair Shores, MI 48080-1655
Phone 586-771-6084 · Fax 586-771-6702
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