TIMOTHY W BURGESS

GRANITE CITY, IL
NPI1982940078
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070007117)
Enumeration Date2012-12-18
Last Update Date2012-12-18
Business Address
Mr. TIMOTHY W BURGESS PT
2100 MADISON AVE
GRANITE CITY, IL 62040-4701
Phone number: 618-798-3000
Mailing Address
Mr. TIMOTHY W BURGESS PT
1995 MAPLELEAF DR
COLLINSVILLE, IL 62234-5267
Phone number: 618-346-1572
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