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Individual
MR. MICHAEL J. ROURKE
Active
Individual
MR. MICHAEL J. ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11729
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000003237
BOSTON MEDICAL CENTER HEALTHNET
MA
05
—
0316547
—
MA
01
—
1017758
FALLON
MA
01
—
417280
TUFTS
MA
01
—
Y67392
BLUECROSS BLUESHIELD
MA
Enumeration date
03/08/2006
Last updated
05/22/2008
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