Provider Demographics
NPI:1033419312
Name:BURMAN, MANISHA HITESH (BSC OT)
Entity Type:Individual
Prefix:MRS
First Name:MANISHA
Middle Name:HITESH
Last Name:BURMAN
Suffix:
Gender:F
Credentials:BSC OT
Other - Prefix:MISS
Other - First Name:MANISHA
Other - Middle Name:SUNDER
Other - Last Name:MAKHIJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:111 SHADOW MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5716
Mailing Address - Country:US
Mailing Address - Phone:919-342-2897
Mailing Address - Fax:
Practice Address - Street 1:111 SHADOW MOUNTAIN LN
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5716
Practice Address - Country:US
Practice Address - Phone:919-342-2897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3913225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist