Individual
DENISE DOROTHY BOURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5520
Mailing address
3951 GARFIELD DR, STONE MOUNTAIN, GA 30083-2362
(404) 296-9267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000303
GA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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