Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1194893651 |
---|---|
Provider Name | Deborah Burre |
First Address | Lees Summit, MO 64081-3797 |
Second Address | Olathe, KS 66062-3367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045728 | FAMILY HEALTH PARTNERS (01) | |
31582016 | BLUE CROSS BLUE SHIELD (01) | |
48119829266210A005 | TRICARE (01) |