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Contact Information

LAINE M BURSON
214 HOPE LANDING
P.O. BOX 10215
EL DORADO, AR71730
 Phone: 870-862-0500
 Fax: 870-862-2100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LAINE M BURSON · (Female)

NPI # 1982117248
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2017
Last updated 11/08/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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