Elizabeth Ackerman Burnett, OTR/L

Individual provider Active NPI Occupational Therapist · Florence, SC

NPI 1649512450 · NPPES record last updated Mar 19, 2013

Key facts

NPI
1649512450
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
990 (SC)
Practice address
319 S Dargan St
Florence, SC 29506-2538
Phone
(843) 992-1564
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

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
990SCMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 990 SC Yes

Addresses

Primary practice location

319 S Dargan St
Florence, SC 29506-2538

Mailing address

319 S Dargan St
Florence, SC 29506-2538
Phone (843) 992-1564

Other providers in Florence, SC

All providers in Florence, SC · Occupational Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.