NPI 1487238754

Macy Alexandra Burk, COTAL

Practitioner Occupational Therapy Assistant Belleville, IL

Practice location

Address: 1104 Olde Lantern Ln, Belleville, IL 62223-3267
Phone: (618) 477-4827

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.005435 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1487238754
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2021
Record last updated: 11 May 2021

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.