Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MATTHEW BURROUS, OT
Active Sole ProprietorJACOB MATTHEW BURROUS, OT is a Pediatric Occupational Therapist healthcare provider located in MARIETTA, Georgia. NPI 1548854193 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · MARIETTA, GA
Registration Details
- NPI Number
- 1548854193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2021 (5.4441032532774 yrs)
- Last Updated
- Feb 24, 2021
- License
-
007999 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2850 JOHNSON FERRY RD STE 100MARIETTA, GA, 300625684Browse GA providers · Browse ZIP 30062
- Phone
- 7706430868
- Fax
- 7706430869
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| BETH K CRUMP | MS OTRL | 1346313426 |
| KRISTIN P WITTGEN | OTR | 1427125772 |
| ELIZABETH A THALER | OT | 1487714226 |
| MRS. DENISE WALZ VERMILYA | OTR/L | 1033270061 |
| ELIZABETH ROSE | OTR | 1679608657 |
| EMMALYN BHENDE | — | 1396930350 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.