Individual
AOIFE BOURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12203 LEIMS DR, QUANTICO, VA 22134-2088
(919) 748-8795
Mailing address
12203 LEIMS DR, QUANTICO, VA 22134-2088
(919) 748-8795
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
2305213785
VA
2251X0800X
Orthopedic Physical Therapist
Primary
PT295208
CA
Other
Enumeration date
10/01/2018
Last updated
10/20/2020
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