Individual
MR. WILLIAM F BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2401 S L ST, RICHMOND, IN 47374-7439
(765) 966-5705
Mailing address
101 SAXON DR, EATON, OH 45320-2765
(513) 255-2346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002535A
IN
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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