| Jaretta Burk, | |
|
2002 Sudderth Dr, Ruidoso, NM 88345-6119 | |
| (575) 257-2368 | |
| (575) 257-2141 |
| Full Name | Jaretta Burk |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2002 Sudderth Dr, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750702601 | NPI | - | NPPES |
| 850441031 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT3682 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaretta Burk, 2002 Sudderth Dr, Ruidoso, NM 88345-6119 Ph: (575) 257-2368 | Jaretta Burk, 2002 Sudderth Dr, Ruidoso, NM 88345-6119 Ph: (575) 257-2368 |
Kathleen Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 | |
Iris Madelone Visser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 | |
Carma Patterson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 |