Provider Demographics
NPI:1528393139
Name:BURTNER FREEMAN, PATRICIA A (PHD,, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:BURTNER FREEMAN
Suffix:
Gender:F
Credentials:PHD,, OTR/L
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:BURTNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, OTR/L
Mailing Address - Street 1:OCCUPATIONAL THERAPY GRAD
Mailing Address - Street 2:MSC09 5240, 1 UNIVERSITY OF NEW MEXICO
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-5475
Mailing Address - Fax:505-272-3583
Practice Address - Street 1:OCCUPATIONAL THERAPY GRAD
Practice Address - Street 2:MSC09 5240, 1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-5475
Practice Address - Fax:505-272-3583
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist