KOKO BURRUSS, DT

Developmental Therapist

Active Individual
NPI: 1053831420

Practice Address

1258 S CANAL ST
Chicago, IL 60607

Phone: (312) 925-7962

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes -

Frequently Asked Questions

NPI 1053831420 is the National Provider Identifier for KOKO BURRUSS, DT, a Developmental Therapist provider located in Chicago, IL. This NPI was enumerated on June 26, 2017.
KOKO BURRUSS, DT practices at 1258 S CANAL ST, Chicago, IL 60607.

Quick Facts

NPI
1053831420
Type
Individual
Enumerated
Jun 26, 2017
Last Updated
Jun 26, 2017

Nearby Providers