Nicole Rae Burkhart, COTA

NPI #1295051019 in Peru, Indiana

Provider Information

NPI Number
1295051019
Entity Type
Individual
Name
Nicole Rae Burkhart, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Apr 19, 2010
Last Updated
Apr 19, 2010

Practice Location

Address
1850 W MATADOR ST
City
Peru
State
Indiana
ZIP Code
46970-3711
Phone
(765) 689-5000

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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