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Individual

MRS. ROBIN JEANNE BOUSQUET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
14780 SW OSPREY DR, SUITE 270, BEAVERTON, OR 97007-8028
(971) 246-7478
(971) 249-3191
Mailing address
14780 SW OSPREY DR, SUITE 270, BEAVERTON, OR 97007-8028
(971) 246-7478
(971) 249-3191

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
60890
OR
2251P0200X
Pediatric Physical Therapist
PT 22975
CA
2251S0007X
Sports Physical Therapist
60890
OR
2251S0007X
Sports Physical Therapist
PT22975
CA

Other

Enumeration date
12/13/2007
Last updated
10/05/2016
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