MR. Timothy W Burgess, PT

NPI #1982940078 in Granite City, Illinois

Provider Information

NPI Number: 1982940078
Entity Type: Individual
Name: MR. Timothy W Burgess, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 18, 2012
Last Updated: Dec 18, 2012

Practice Location

Address: 2100 MADISON AVE
City: Granite City
State: Illinois
ZIP Code: 62040-4701
Phone: (618) 798-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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