Mark Sevan Bourque Jr., PTA

Physical Therapy Assistant · Mobile, AL

Individual Active NPI

NPI number 1033685664

Practice location

1220 Azalea Rd
Mobile, AL 36693-2859
Phone
(125) 158-3165
Fax
(888) 539-6550

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NPI record

NPI
1033685664
Entity type
Individual (Type 1)
Enumeration date
October 22, 2018
Last updated
October 22, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA9163 AL

About Mark Bourque

Mark Sevan Bourque Jr., PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1220 Azalea Rd, Mobile, AL 36693-2859. The NPI number 1033685664 was assigned on October 22, 2018 and the record was last updated on October 22, 2018.

Mark Bourque lists a license in the registry: #PTA9163 (AL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Sevan Bourque Jr., PTA?

The NPI number is 1033685664.

What is the phone number of Mark Bourque?

The phone number listed for the practice location is (125) 158-3165.

Where is Mark Bourque located?

1220 Azalea Rd, Mobile, AL 36693-2859.

What is the taxonomy code for Mark Bourque?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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