NPI 1477122612
Marissa Bourque, OTD
Practice location
- Address
- 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541
- Phone
- (937) 428-6273
- Fax
- (937) 428-6274
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1477122612
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jun 2021
- Record last updated
- 22 Jun 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.