Organization
AWARENESS PELVIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMAWAH I BOURQUE DPT (PHYSICAL THERAPIST)
(832) 512-8722
Entity
Organization
Contact information
Practice address
1302 N SHEPHERD DR FL 3, HOUSTON, TX 77008-3752
(832) 512-8722
Mailing address
5470 W BROADWAY ST. STE 116, PEARLAND, TX 77581
(832) 512-8722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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