Individual
LARRIEVEL FEY RODRIGUEZ BOURGOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11919 W AIRPORT BLVD, MEADOWS PLACE, TX 77477-2409
(281) 206-0785
Mailing address
11919 W AIRPORT BLVD, MEADOWS PLACE, TX 77477-2409
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1247183
TX
Other
Enumeration date
10/21/2015
Last updated
02/18/2016
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