Search › Alabama › 225200000X
Mark Bourque, PTA
NPI 1033685664 · on the registry since 2018
Practice
- Address
- 1220 Azalea Rd
Mobile, AL 36693 - Phone
- (125) 158-3165
- Fax
- (888) 539-6550
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama