Clyde Burchard, OTR/L

NPI #1013511625 in Lake City, Iowa

Provider Information

NPI Number: 1013511625
Entity Type: Individual
Name: Clyde Burchard, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Nov 24, 2020
Last Updated: Nov 24, 2020

Practice Location

Address: 1409 W MAIN ST
City: Lake City
State: Iowa
ZIP Code: 51449-1578
Phone: (712) 464-7951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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