Individual
DR. JOSCELYN CELESTE SHUMATE BOURNE
Active
Individual
DR. JOSCELYN CELESTE SHUMATE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
039719-1
NY
225100000X
Physical Therapist
8797
SC
225100000X
Physical Therapist
Primary
P18386
NC
2251S0007X
Sports Physical Therapist
039719-1
NY
2251X0800X
Orthopedic Physical Therapist
039719-1
NY
Other
Enumeration date
01/18/2016
Last updated
03/01/2020
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