Individual
MR. BRENDAN O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 220-6379
Mailing address
7 PARK AVE, CONGERS, NY 10920-1526
(914) 723-4900
(914) 723-7893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0260751
NY
225100000X
Physical Therapist
Primary
14670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q17D11
EMPIRE BLUE CROSS
—
Enumeration date
03/05/2007
Last updated
07/03/2014
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