KIMBERLY MARIE BURGESS

PEORIA, IL
NPI1013103506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: IL  B622-5138-3710)
Enumeration Date2007-09-19
Last Update Date2007-09-19
Business Address
Miss KIMBERLY MARIE BURGESS DT/H
6440 N ALLEN RD UNIT 55
PEORIA, IL 61614-3281
Phone number: 309-838-5440
Mailing Address
Miss KIMBERLY MARIE BURGESS DT/H
6440 N ALLEN RD UNIT 55
PEORIA, IL 61614-3281
Phone number: 309-838-5440
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