Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK SEVAN BOURQUE JR., PTA
ActiveOccupational Therapist · MOBILE, AL
Registration Details
- NPI Number
- 1033685664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2018 (7.4978599270664 yrs)
- Last Updated
- Oct 22, 2018
- License
-
PTA9163 (AL)
Practice Information
- Address
-
1220 AZALEA RDMOBILE, AL, 366932859Browse AL providers · Browse ZIP 36693
- Phone
- 1251583165
- Fax
- 8885396550
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MOBILE, AL
| Name | Credential | NPI |
|---|---|---|
| MRS. JO ELLYN S LITTEN | L PTA | 1790744126 |
| CYNTHIA DAWN GOLEMBIEWSKI | LPTA | 1679666523 |
| SCOTT ALAN PICKETT | LPTA | 1902966054 |
| DAVID WOOSTER | — | 1164639852 |
| NORMAN RUDOLPH | — | 1144430380 |
| CARY COCHRAN | — | 1871703918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.