Individual
BJORG TUPPEN BOURIANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2158 PORTSMOUTH ST, HOUSTON, TX 77098-4057
(713) 529-4990
Mailing address
3762 DRUMMOND ST, HOUSTON, TX 77025-2418
(713) 622-0598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1012532
TX
225XH1200X
Hand Occupational Therapist
Primary
100227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100227
LICENSE #
TX
Enumeration date
08/20/2006
Last updated
06/10/2014
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