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Individual
SARAH NATHERESE BOURQUE
Active
Individual
SARAH NATHERESE BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4120
NH
225100000X
Physical Therapist
CP000371T
NC
225100000X
Physical Therapist
Primary
P20291
NC
Other
Enumeration date
09/07/2016
Last updated
07/16/2025
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