MR. Sidney Paul Bourg, PT

NPI #1447306568 in Lockport, Louisiana

Provider Information

NPI Number
1447306568
Entity Type
Individual
Name
MR. Sidney Paul Bourg, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5550 N HIGHWAY 1
ZIP Code
70374-2000
Phone
(985) 532-6800

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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