Doctor Name: | MR. CHRISTIAN B BOURGEOIS |
NPI Number: | 1538348628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT23558 |
Business Practice Address: | 17135 Ronald Rd Prairieville, LA - 707694168 |
Business Phone Number: | 2257444878 |
Business Fax Number: | 2257444879 |
Mailing Address: | 17135 Ronald Rd, PRAIRIEVILLE |
State: | LA |
Postal Code: | 707694168 |
Phone Number: | 2257444878 |
Fax Number: | 2257444879 |
NPI Enumeration Date: | 10/25/2007 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT23558 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |