Suzanne Michele Burbank, OTR/L, CLT
Occupational Therapist in Melbourne, FL. Individual provider (NPI-1).
NPI number1508409129
StatusActive
Last updated in NPPESOct 27, 2019
Details
- NPI
- 1508409129
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Michele Burbank
- Credential
- OTR/L, CLT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2019
- Last updated
- Oct 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 14748 | FL | Yes |
| 225X00000X | Occupational Therapist | 4427 | CT |
Practice location
405 N Wickham Rd Ste 103Melbourne, FL 32935-8628
Phone 321-327-8509
Mailing address
405 N Wickham Rd Ste 103Melbourne, FL 32935-8628
Phone 239-822-8846
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