DEVON LATEZ BURGESS

GREENVILLE, SC
NPI1952085144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  12957)
Additional Taxonomies225100000X Physical Therapist
(Licence: SC  CP042126T)
225100000X Physical Therapist
(Licence: GA  PT016568)
Enumeration Date2023-06-09
Last Update Date2025-09-08
Business Address
-- DEVON LATEZ BURGESS DPT
2 DOCTORS DR
GREENVILLE, SC 29605-4265
Phone number: 864-558-8955
Mailing Address
-- DEVON LATEZ BURGESS DPT
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number: 866-370-8206