Darnell Marie Burgess OT

NPI 1174832406 - Occupational Therapist - 225X00000X

NPI Details
NPI 1174832406
Gender Female
Enumeration Date 10/05/2010
Last Updated 10/05/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
758 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE GA, 30046-3385, US
Phone (678) 985-7190
Fax (678) 985-7158
Business Location
758 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE GA, 30046-3385, US
Phone (678) 985-7190
Fax (678) 985-7158
Toxanomy
Taxonomy Code 225X00000X
License State Georgia
License Number OT004795
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According to our database, Darnell Marie Burgess OT NPI is 1174832406, taxonomy code is 225X00000X and license number is OT004795, license state is located at Georgia. Darnell Marie Burgess OT physically located at 758 Old Norcross Rd, Lawrenceville GA, 30046-3385. NPI Number Darnell Marie Burgess OT has the Individual type.

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1174832406 NPI number is provided on an as is basis without warranty of any kind. 1174832406 is maintained by the National Plan & Provider Enumeration System. The contents of Darnell Marie Burgess OT are for informational purposes only.