National Provider Identifier
Hollis C Burgess, OTR/L
Hollis C Burgess, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 573-3572.
Profile Overview
- NPI
- 1821392523
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- January 10, 2011
- Last Updated
- January 10, 2011
Practice Location
- 107 Grant St
- Newark, NY 14513-1738
Phone: (315) 573-3572
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1821392523
- Entity Type
- Individual
- Last Name
- Burgess
- First Name
- Hollis
- Middle Name
- C
- Name Prefix
- Mrs.
- Credential
- OTR/L
- Mailing Street Address
- 107 Grant St
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1738
- Mailing Country
- US
- Mailing Phone
- (315) 573-3572
- Practice Street Address
- 107 Grant St
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1738
- Practice Country
- US
- Practice Phone
- (315) 573-3572
- Enumeration Date
- January 10, 2011
- Last Updated
- January 10, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)