Individual
MARCUS JOHN BOURQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12080 BELLAIRE WAY, THORNTON, CO 80241-3600
(303) 450-2700
Mailing address
11834 STEELE ST, THORNTON, CO 80233-1557
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014558
CO
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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