Staci A Burris, PTA
NPI #1003428806 in East Peoria, Illinois
Provider Information
- NPI Number
- 1003428806
- Entity Type
- Individual
- Name
- Staci A Burris, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 21, 2020
- Last Updated
- Aug 21, 2020
Practice Location
- Address
- 900 CENTENNIAL DR # 30
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-4928
- Phone
- (309) 699-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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