Individual
SARA BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1606 HUNT DR, NORMAL, IL 61761-2192
(309) 452-0069
(309) 451-8989
Mailing address
1606 HUNT DR, NORMAL, IL 61761-2192
(309) 452-0069
(309) 451-8989
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.012961
IL
Other
Enumeration date
11/26/2018
Last updated
08/13/2019
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