Theda Burchardt, OTR/L

NPI #1811539240 in Clermont, Georgia

Provider Information

NPI Number: 1811539240
Entity Type: Individual
Name: Theda Burchardt, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 17, 2019
Last Updated: Oct 17, 2019

Practice Location

Address: 130 MAIN ST
City: Clermont
State: Georgia
ZIP Code: 30527-1804
Phone: (678) 616-3099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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