Individual
MISS ANASTASIA E BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1000 HWY 77 NORTH, WAXAHACHIE, TX 75165
(972) 923-4600
(972) 923-4617
Mailing address
1000 HWY 77 NORTH, WAXAHACHIE, TX 75165
(972) 923-4600
(972) 923-4617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3617
TX
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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