Healthcare Provider Details

I. General information

NPI: 1639183064
Provider Name (Legal Business Name): CHRISTINE BURSETH OTR, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 N GRANT AVE SUITE 100
LOVELAND CO
80538-8433
US

IV. Provider business mailing address

3880 N GRANT AVE SUITE 100
LOVELAND CO
80538-8433
US

V. Phone/Fax

Practice location:
  • Phone: 970-663-7780
  • Fax:
Mailing address:
  • Phone: 970-663-7780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: