MS. Miranda L Bourgeois, PT

NPI #1043339849 in Columbia, Missouri

Provider Information

NPI Number
1043339849
Entity Type
Individual
Name
MS. Miranda L Bourgeois, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Mar 29, 2007
Last Updated
Mar 18, 2015

Practice Location

Address
3301 BERRYWOOD DR
Address 2
SUITE 204
ZIP Code
65201-6517
Phone
(573) 449-6082

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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