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1083689038
SALLY A BURGESS
GLASTONBURY, CT
NPI
1083689038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004561)
Enumeration Date
2006-02-22
Last Update Date
2007-08-14
Business Address
-- SALLY A BURGESS
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 800-998-0880
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Mailing Address
-- SALLY A BURGESS
2124 ABBOTT AVE
ANN ARBOR, MI 48103-3904
Phone number:
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