MISS Kimberly Marie Burgess, DT/H

NPI #1013103506 in Peoria, Illinois

Provider Information

NPI Number
1013103506
Entity Type
Individual
Name
MISS Kimberly Marie Burgess, DT/H
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
DT/H
Enumeration Date
Sep 19, 2007
Last Updated
Sep 19, 2007

Practice Location

Address
6440 N ALLEN RD
Address 2
UNIT 55
City
Peoria
ZIP Code
61614-3281
Phone
(309) 838-5440

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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