Individual
DORCA BOURSIQUOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18001 OLD CUTLER RD, SUITE 354, PALMETTO BAY, FL 33157-6422
(305) 251-7477
(305) 251-7475
Mailing address
18001 OLD CUTLER RD, SUITE 354, PALMETTO BAY, FL 33157-6422
(305) 251-7477
(305) 251-7475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20451
FL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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