MAMAWAH ISATA BOURQUE

DALLAS, TX
NPI1053659649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1210663)
Enumeration Date2013-01-16
Last Update Date2013-01-16
Business Address
Dr. MAMAWAH ISATA BOURQUE P.T.
14332 MONTFORT DR #4101
DALLAS, TX 75254-8486
Phone number: 713-256-4708
Mailing Address
Dr. MAMAWAH ISATA BOURQUE P.T.
14332 MONTFORT DR #4101
DALLAS, TX 75254-8486
Phone number: 713-256-4708
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