Burtard, Tina Michelle

Burtard, Tina Michelle is an individual health care provider with primary practice located at 2600 Kiley Way , Plymouth WI 53073-5020. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Burtard, Tina Michelle can be contacted via phone (920) 459-1409.

Contact Information

Primary practice address
2600 Kiley Way Plymouth WI 53073-5020
Phone: (920) 459-1409
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 4488 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Wisconsin

Profile Details

NPI number 1710200548
LBN Legal business name Burtard, Tina Michelle
Credentials M.S., OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2010
Last updated Apr 12th, 2011 - about 15 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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