AUDREY BURNETT

SOUTH BEND, IN
NPI1720235534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001574A)
Enumeration Date2008-08-22
Last Update Date2008-08-22
Business Address
-- AUDREY BURNETT COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710
Mailing Address
-- AUDREY BURNETT COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710