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LAETITIA BOURGEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3315 PEBBLE BEACH RD, APT 5, CONWAY, AR 72034-8550
(501) 428-3249
Mailing address
3315 PEBBLE BEACH RD, APT 5, CONWAY, AR 72034-8550
(501) 428-3249

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3735
AR

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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