Doctor Name: | MS. MARJORIE L BOURGEOIS |
NPI Number: | 1083674923 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT05/12/1946 |
License Number: | PT-00219 |
Business Practice Address: | 119 S Main St Church Point, LA - 705253113 |
Business Phone Number: | 3376846585 |
Business Fax Number: | 3376846585 |
Mailing Address: | Po Box 299, CHURCH POINT |
State: | LA |
Postal Code: | 705250299 |
Phone Number: | 3376846585 |
Fax Number: | 3376846585 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-00219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |