Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SIDNEY PAUL BOURG, PT
Active Sole ProprietorMR. SIDNEY PAUL BOURG, PT is a Physical Therapy Assistant healthcare provider located in LOCKPORT, Louisiana. NPI 1447306568 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOCKPORT, LA
Registration Details
- NPI Number
- 1447306568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.528382522454 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT00536 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5550 N HIGHWAY 1LOCKPORT, LA, 703742000Browse LA providers · Browse ZIP 70374
- Phone
- 9855326800
- Fax
- 9855326813
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.