MR. SHANE BURGESS, COTA/L

Skilled Nursing Facility

Active Individual
NPI: 1932363736

Practice Address

310 S EADS AVE
Paris, IL 61944

Phone: (217) 465-5395

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 057.002001 (IL)

Frequently Asked Questions

NPI 1932363736 is the National Provider Identifier for MR. SHANE BURGESS, COTA/L, a Skilled Nursing Facility provider located in Paris, IL. This NPI was enumerated on July 11, 2008.
MR. SHANE BURGESS, COTA/L practices at 310 S EADS AVE, Paris, IL 61944.

Quick Facts

NPI
1932363736
Type
Individual
Enumerated
Jul 11, 2008
Last Updated
Jul 11, 2008

Nearby Providers