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1275020406
SHEILA BURGESS
LOUISVILLE, KY
NPI
1275020406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007226)
Enumeration Date
2018-04-13
Last Update Date
2018-04-13
Business Address
SHEILA BURGESS COTA/L
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
SHEILA BURGESS COTA/L
15810 BEXLEY ST
CLINTON TOWNSHIP, MI 48038-3205
Phone number:
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