Mary Burnett

NPI #1770007007 in Round Lake, Illinois

Provider Information

NPI Number: 1770007007
Entity Type: Individual
Name: Mary Burnett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 28, 2017
Last Updated: Jul 28, 2017

Practice Location

Address: 512 S JADE LANE
City: Round Lake
State: Illinois
ZIP Code: 60073
Phone: (262) 960-5445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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