National Provider Identifier

Jessica Marie Burdick, OTD, OTR/L

Jessica Marie Burdick, OTD, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Painted Post, NY and a listed phone number of (607) 936-3700.

NPI 1295048858Painted Post, NYOccupational Therapist

Profile Overview

NPI
1295048858
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
July 23, 2010
Last Updated
January 27, 2023

Practice Location

  • 165 Charles St
  • Painted Post, NY 14870-1100

Phone: (607) 936-3700

Mailing Address

  • 2721 Goff RD
  • Corning, NY 14830-3647

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1295048858
Entity Type
Individual
Last Name
Burdick
First Name
Jessica
Middle Name
Marie
Name Prefix
Dr.
Credential
OTD, OTR/L
Provider Other Last Name
Cunningham
Provider Other First Name
Jessica
Provider Other Middle Name
Marie
Provider Other Credential Text
OTD
Provider Other Last Name Type Code
1
Mailing Street Address
2721 Goff RD
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-3647
Mailing Country
US
Mailing Phone
(607) 331-3009
Practice Street Address
165 Charles St
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-1100
Practice Country
US
Practice Phone
(607) 936-3700
Enumeration Date
July 23, 2010
Last Updated
January 27, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
January 27, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)