Burchardt, Theda

Burchardt, Theda is an sole proprietor health care provider with primary practice located at 130 Main St , Clermont GA 30527-1804. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Burchardt, Theda can be contacted via phone (678) 616-3099.

Contact Information

Primary practice address
130 Main St Clermont GA 30527-1804
Phone: (678) 616-3099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 001292 Georgia

Profile Details

NPI number 1811539240
LBN Legal business name Burchardt, Theda
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2019
Last updated Oct 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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