| NPI | 1730548132 |
|---|---|
| Former Name | SHAWNA BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 020459-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63 020459) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2022-07-28 |