NPI 1013511625
Clyde Burchard, OTRL
Practice location
- Address
- 1409 W Main St, Lake City, IA 51449-1578
- Phone
- (712) 464-7951
- Mailing address
- 606 S 9th St, Sac City, IA 50583-2604
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1013511625
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Nov 2020
- Record last updated
- 24 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.