ALEXA MIKAEL BURGEESS

NICEVILLE, FL
NPI1174190417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA16815)
Enumeration Date2021-06-07
Last Update Date2021-06-07
Business Address
ALEXA MIKAEL BURGEESS COTA/L, CSRS, CNS
4595 E HIGHWAY 20
NICEVILLE, FL 32578-8847
Phone number: 850-460-3598
Mailing Address
ALEXA MIKAEL BURGEESS COTA/L, CSRS, CNS
34 AMERICAN CT
SANTA ROSA BEACH, FL 32459-5099
Phone number: 740-645-1905