Individual
DEANNA MARIE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2305 CANYON BLVD STE 103, BOULDER, CO 80302-5655
(303) 620-6987
Mailing address
3727 CANFIELD ST APT 108, BOULDER, CO 80301-3194
(225) 572-0304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0008072
CO
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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