Individual
DEVON LATEZ BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2 DOCTORS DR, GREENVILLE, SC 29605-4265
(864) 558-8955
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12957
SC
225100000X
Physical Therapist
CP042126T
SC
225100000X
Physical Therapist
PT016568
GA
Other
Enumeration date
06/09/2023
Last updated
09/08/2025
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