Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3413 | AL |
NPI | 1043583776 |
---|---|
Provider Name | Brandy Burchfield |
First Address | Vestavia, AL 35243-5307 |
Second Address | Mountain Brk, AL 35223-2023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2012 |
Last Update Date | 10/02/2012 |