Provider Demographics
NPI:1871767103
Name:BURLACU, GILDA MONICA (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:GILDA
Middle Name:MONICA
Last Name:BURLACU
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MS
Other - First Name:GILDA
Other - Middle Name:MONICA
Other - Last Name:VEJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:4201 NE 66TH AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661
Mailing Address - Country:US
Mailing Address - Phone:360-885-4684
Mailing Address - Fax:360-882-8972
Practice Address - Street 1:4201 NE 66TH AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661
Practice Address - Country:US
Practice Address - Phone:360-885-4684
Practice Address - Fax:360-882-8972
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist