Individual
MRS. JOAN ELAINE BOURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
900 S. FRANKLIN ST, SUITE 201, WAKE FOREST, NC 27587-2797
(919) 556-1700
(919) 556-1245
Mailing address
900 S. FRANKLIN ST, SUITE 201, WAKE FOREST, NC 27587-2797
(919) 556-1700
(919) 556-1245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14925
NC
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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