NPI 1043339849

Miranda L Bourgeois, PT

Practitioner Physical Therapist Columbia, MO

Practice location

Address: 3301 Berrywood Dr Suite 204, Columbia, MO 65201-6517
Phone: (573) 449-6082

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2001001888 (MO)

Other Physical Therapist providers in Missouri →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 3407 (IA)

Registry record

NPI: 1043339849
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2007
Record last updated: 18 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.