Jessamy Kaye Burch, MOTR/L

Individual provider Active NPI Occupational Therapist · Urbandale, IA

NPI 1811244775 · NPPES record last updated Aug 10, 2012

Key facts

NPI
1811244775
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
002060 (IA)
Practice address
4614 84TH St
Urbandale, IA 50322-1089
Phone
(515) 270-6838
Fax
(515) 270-8051
NPI assigned
Aug 10, 2012
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
002060IAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002060 IA Yes

Addresses

Primary practice location

4614 84TH St
Urbandale, IA 50322-1089

Mailing address

3801 Old Bruceville Rd
Vincennes, IN 47591-3889
Phone (812) 886-4677

Other providers in Urbandale, IA

All providers in Urbandale, IA · Occupational Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.