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Individual

CODY BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-8060
Mailing address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-8060

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020842
IL

Other

Enumeration date
09/19/2014
Last updated
09/19/2014
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