Brody Jaymes Bourgeois

NPI 1265730691 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1265730691
Gender Male
Enumeration Date 03/09/2011
Last Updated 03/09/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1978 INDUSTRIAL BLVD
HOUMA LA, 70363-7055, US
Phone (985) 850-2354
Fax
Business Location
1978 INDUSTRIAL BLVD
HOUMA LA, 70363-7055, US
Phone (985) 850-2354
Fax
Toxanomy
Taxonomy Code 225200000X
License State Louisiana
License Number A7939
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According to our database, Brody Jaymes Bourgeois NPI is 1265730691, taxonomy code is 225200000X and license number is A7939, license state is located at Louisiana. Brody Jaymes Bourgeois physically located at 1978 Industrial Blvd, Houma LA, 70363-7055. NPI Number Brody Jaymes Bourgeois has the Individual type.

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1265730691 NPI number is provided on an as is basis without warranty of any kind. 1265730691 is maintained by the National Plan & Provider Enumeration System. The contents of Brody Jaymes Bourgeois are for informational purposes only.