MACY ALEXANDRA BURK

BELLEVILLE, IL
NPI1487238754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005435)
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
MACY ALEXANDRA BURK COTA/L
1104 OLDE LANTERN LN
BELLEVILLE, IL 62223-3267
Phone number: 618-477-4827
Mailing Address
MACY ALEXANDRA BURK COTA/L
1104 OLDE LANTERN LN
BELLEVILLE, IL 62223-3267
Phone number: 618-477-4827
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