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NPI Code Detail

MEDICARE: MRS. MELISSA A. BURKHART OTR

MEDICARE: MRS. MELISSA A. BURKHART 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 Therapist04970MD

General Provider Information

NPI Number : 1932232303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA A. BURKHART OTR
Provider Business Mailing Address
First Line : 6222 CLIFFSIDE TER
Second Line :
City : FREDERICK
State : MD
Zip : 21701-5878
Country : US
Telephone Number : 301-873-8459
Fax Number :
Provider Business Practice Location Address
First Line : 56 W FREDERICK ST
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8254
Country : US
Telephone Number : 301-898-4320
Fax Number : 301-898-4343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 11/25/2016

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