MR. Shane Burgess, COTA/L

NPI #1932363736 in Paris, Illinois

Provider Information

NPI Number
1932363736
Entity Type
Individual
Name
MR. Shane Burgess, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
COTA/L
Enumeration Date
Jul 11, 2008
Last Updated
Jul 11, 2008

Practice Location

Address
310 S EADS AVE
City
Paris
ZIP Code
61944-1938
Phone
(217) 465-5395

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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