Julisa G Burns

Individual provider Active NPI Occupational Therapy Assistant · Gotha, FL

NPI 1760948541 · NPPES record last updated Feb 15, 2019

Key facts

NPI
1760948541
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
9234 Lake Fischer Blvd
Gotha, FL 34734-5203
Phone
(407) 590-6465
NPI assigned
Feb 15, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

9234 Lake Fischer Blvd
Gotha, FL 34734-5203

Mailing address

9234 Lake Fischer Blvd
Gotha, FL 34734-5203
Phone (407) 590-6465

Other providers in Gotha, FL

All providers in Gotha, FL · Occupational Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.