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Contact Information

MARCIE R BURTON, COTA/L
300 E MAZON AVE
DWIGHT, IL60420-1104
 Phone: 815-584-1240
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for MARCIE R BURTON · (Female)

NPI # 1396483756
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 05/25/2022
Last updated 05/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 057002456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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