Dominador Randy Burtanog
Occupational Therapist in Fall River, MA. Individual provider (NPI-1).
NPI number1609219823
StatusActive
Last updated in NPPESApr 8, 2013
Details
- NPI
- 1609219823
- Entity type
- Individual (NPI-1)
- Name
- Dominador Randy Burtanog
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2013
- Last updated
- Apr 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 8619 | MA | Yes |
Practice location
27 Courtney StApt. 8
Fall River, MA 02720-6706
Phone 401-316-4201
Mailing address
27 Courtney StApt. 8
Fall River, MA 02720-6706
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