| NPI | 1124424551 |
|---|---|
| Former Name | ADDIE BURNHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 131129) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R4856) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2024-01-12 |