Individual
JULIE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6244 MISSOURI HIGHWAY 100, SUITE 230, WASHINGTON, MO 63090
(636) 239-8443
Mailing address
8624 HIGHWAY YY, NEW HAVEN, MO 63068-2621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2015027078
MO
225700000X
Massage Therapist
Primary
2023014392
MO
Other
Enumeration date
09/21/2015
Last updated
08/26/2024
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