Bethtina Burdett DEV. SPECIALIST

NPI 1093990673 - Specialist - 174400000X

NPI Details
NPI 1093990673
Gender Female
Enumeration Date 01/02/2008
Last Updated 01/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
176 MAIN ST
KENNEDY DONOVAN CENTER
SOUTHBRIDGE MA, 01550-2561, US
Phone (508) 765-0292
Fax (508) 765-0294
Business Location
176 MAIN ST
KENNEDY DONOVAN CENTER
SOUTHBRIDGE MA, 01550-2561, US
Phone (508) 765-0292
Fax (508) 765-0294
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Bethtina Burdett DEV. SPECIALIST NPI is 1093990673, taxonomy code is 174400000X Bethtina Burdett DEV. SPECIALIST physically located at 176 Main St, Southbridge MA, 01550-2561. NPI Number Bethtina Burdett DEV. SPECIALIST has the Individual type.

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1093990673 NPI number is provided on an as is basis without warranty of any kind. 1093990673 is maintained by the National Plan & Provider Enumeration System. The contents of Bethtina Burdett DEV. SPECIALIST are for informational purposes only.