Jolene Michele Burch
Occupational Therapist - Pediatrics
209 Cherry St
Milford
, Connecticut 06460-3501
Jolene Michele Burch
Occupational Therapist - Pediatrics
209 Cherry St
Milford
, Connecticut 06460-3501
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Jolene Michele Burch
- 30 Westfield Rd
- Milford, CT
- Zip : 06461-2357
- Phone :
Second Address
- Jolene Michele Burch
- 209 Cherry St
- Milford, CT
- Zip : 06460-3501
- Phone : (203) 874-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 3953 | CT |
National Provider Identifier
| NPI | 1013266220 |
|---|---|
| Provider Name | Jolene Michele Burch |
| First Address | Milford, CT 06461-2357 |
| Second Address | Milford, CT 06460-3501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2012 |
| Last Update Date | 09/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.