Whalio Doctors

NPI 1013511625

Clyde Burchard, OTRL

Practitioner Occupational Therapist Lake City, IA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 01651 (IA)

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.