Individual
MARY C BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3050 MONTVALE DR STE B, SPRINGFIELD, IL 62704-6901
(217) 525-0808
(217) 753-5324
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
056-000418
IL
Other
Enumeration date
11/09/2005
Last updated
12/15/2021
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