Provider Demographics
NPI:1063858462
Name:BURKART, MOREEN (MT-BC)
Entity Type:Individual
Prefix:MS
First Name:MOREEN
Middle Name:
Last Name:BURKART
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:MOREEN
Other - Middle Name:
Other - Last Name:BOSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:219 13TH PL SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-6428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:219 13TH PL SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-6428
Practice Address - Country:US
Practice Address - Phone:320-212-4962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist