CLYDE BURCHARD

LAKE CITY, IA
NPI1013511625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IA  01651)
Enumeration Date2020-11-24
Last Update Date2020-11-24
Business Address
CLYDE BURCHARD OTR/L
1409 W MAIN ST
LAKE CITY, IA 51449-1578
Phone number: 712-464-7951
Mailing Address
CLYDE BURCHARD OTR/L
606 S 9TH ST
SAC CITY, IA 50583-2604
Phone number: 870-656-3488
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