| NPI | 1174658587 |
|---|---|
| Former Name | GINA GAIL BURRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 002608) |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: GA 002608) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |