DOUGLAS BOURBON

PLYMOUTH MEETING, PA
NPI1770797284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT006328L)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- DOUGLAS BOURBON
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- DOUGLAS BOURBON
8 EMBASSY CIR
EAST NORRITON, PA 19403-4012
Phone number: 610-584-4178
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