Individual
MS. MARJORIE L BOURGEOIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT05/12/1946
Contact information
Practice address
119 S MAIN ST, CHURCH POINT, LA 70525-3113
(337) 684-6585
(337) 684-6585
Mailing address
PO BOX 299, CHURCH POINT, LA 70525-0299
(337) 684-6585
(337) 684-6585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-00219
LA
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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