Individual
BROOKE RENAE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
1037 FOX SPARROW LOOP, MADISONVILLE, LA 70447-3041
(985) 855-8621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
330281
LA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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