Lisa A Burton, OTA

Individual provider Active NPI Occupational Therapy Assistant · Wellsville, KS

NPI 1407098932 · NPPES record last updated Mar 30, 2009

Key facts

NPI
1407098932
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1800451 (KS)
Practice address
304 W 7TH St
Wellsville, KS 66092-7800
Phone
(615) 896-6400
NPI assigned
Mar 30, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1800451KSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1800451 KS Yes

Addresses

Primary practice location

304 W 7TH St
Wellsville, KS 66092-7800

Mailing address

19545 Sunflower Rd
Edgerton, KS 66021-9776
Phone (615) 896-6400

Other providers in Wellsville, KS

All providers in Wellsville, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.