DEVON LATEZ BURGESS

HARDEEVILLE, SC
NPI1952085144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  CP042126T)
Additional Taxonomies225100000X Physical Therapist
(Licence: GA  PT016568)
Enumeration Date2023-06-09
Last Update Date2025-02-25
Business Address
DEVON LATEZ BURGESS DPT
386D MARK CUMMINGS RD STE 102
HARDEEVILLE, SC 29927-9706
Phone number: 843-208-2272
Mailing Address
DEVON LATEZ BURGESS DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-497-0005