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NPI Code Detail

MEDICARE: DAVID ALAN BURNETT OTR

MEDICARE: DAVID ALAN BURNETT 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
1225X00000XOccupational Therapist108455TX

General Provider Information

NPI Number : 1538386032
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALAN BURNETT OTR
Provider Business Mailing Address
First Line : 150 AVENUE B SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3037
Country : US
Telephone Number : 863-268-2903
Fax Number : 863-268-2906
Provider Business Practice Location Address
First Line : 150 AVENUE B SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3037
Country : US
Telephone Number : 863-268-2903
Fax Number : 863-268-2906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 09/19/2016

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Directions to “ DAVID ALAN BURNETT OTR” Practice Location

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