NPI 1134794019
Morgan Bourgeois
Practice location
- Address
- 3152 Peregrine Dr NE, Grand Rapids, MI 49525-9723
- Phone
- (616) 643-0833
- Mailing address
- 193 W 22nd St, Holland, MI 49423-4770
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1134794019
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 May 2021
- Record last updated
- 24 May 2021
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.