Individual
MARQUIS EVERETT BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5842 FLORENCE AVE, PHILADELPHIA, PA 19143-4530
(215) 546-5960
Mailing address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OP007808
PA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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