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LEIGH ALLISON BURKEY OTR/L
Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1649848581
Individual Registrant: LEIGH ALLISON BURKEY OTR/L
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
350 GATE 5 RD SAUSALITO, CA 94965-2805 US
Tel: 415-339-8800 Fax: --
Tel: 415-339-8800 Fax: --
Contact information for business:
293 BUTTERFIELD RD SAN ANSELMO, CA 94960-1240 US
Tel: 925-787-3593 Fax: --
Tel: 925-787-3593 Fax: --
Registration Information:
NPI: 1649848581
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Pediatrics | CA | 5040 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC. (NBCOT) | 1049397 | 01 | |
| CALIFORNIA BOARD OF OCCUPATIONAL THERAY (CBOT) | 5040 | CA | 01 |
