Individual
ASHLEY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
27 AUERBACH PL, GLEN CARBON, IL 62034-1596
(618) 288-3700
Mailing address
1995 MAPLELEAF DR, COLLINSVILLE, IL 62234-5267
(618) 560-1702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.027487
IL
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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