Individual
DAVID BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N RANGE AVE, DENHAM SPRINGS, LA 70726-2400
(225) 665-8851
Mailing address
1000 N RANGE AVE, DENHAM SPRINGS, LA 70726-2400
(225) 665-8851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00261
LA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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