Dorca Boursiquot PTA

NPI 1639302672 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1639302672
Gender Female
Enumeration Date 08/25/2009
Last Updated 08/25/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
18001 OLD CUTLER RD
SUITE 354
PALMETTO BAY FL, 33157-6422, US
Phone (305) 251-7477
Fax (305) 251-7475
Business Location
18001 OLD CUTLER RD
SUITE 354
PALMETTO BAY FL, 33157-6422, US
Phone (305) 251-7477
Fax (305) 251-7475
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA20451
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According to our database, Dorca Boursiquot PTA NPI is 1639302672, taxonomy code is 225200000X and license number is PTA20451, license state is located at Florida. Dorca Boursiquot PTA physically located at 18001 Old Cutler Rd, Palmetto Bay FL, 33157-6422. NPI Number Dorca Boursiquot PTA has the Individual type.

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1639302672 NPI number is provided on an as is basis without warranty of any kind. 1639302672 is maintained by the National Plan & Provider Enumeration System. The contents of Dorca Boursiquot PTA are for informational purposes only.