Individual
AMY NICOLE BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7277 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 423-5611
(817) 423-5577
Mailing address
7277 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 423-5611
(817) 423-5577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1226977
TX
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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