Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clyde Edward Burroughs Jr., OTR

Individual provider Occupational Therapist · NPI 1356084404

Clyde Edward Burroughs Jr., OTR is an Occupational Therapist in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

15291 NW 60th Ave Ste 101
Miami Lakes, FL 33014-2459
Phone: (305) 705-7702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 23071 (FL)

Record details

NPI number1356084404
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedApril 17, 2022
Last updated in NPPESApril 17, 2022
Certification dateApril 17, 2022

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