MEDICARE: LINDSAY ERIN BURAS PT, OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	1204778	TX
2	225X00000X	Occupational Therapist	114175	TX

General Provider Information

NPI Number	:	1376963447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ERIN BURAS PT, OTR

Provider Business Mailing Address
First Line	:	14515 BRIARHILLS PKWY
Second Line	:	SUITE 208
City	:	HOUSTON
State	:	TX
Zip	:	77077-1000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14515 BRIARHILLS PKWY
Second Line	:	SUITE 208
City	:	HOUSTON
State	:	TX
Zip	:	77077-1000
Country	:	US
Telephone Number	:	713-575-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2014
Last Update Date	:	04/16/2014

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