Individual provider · Type 1 NPI

Mamawah Isata Bourque, P.T.

Physical Therapist · Dallas, TX

NPI number 1053659649 Active

Practice location

14332 Montfort Dr, #4101
Dallas, TX 75254-8486

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X1210663 (TX)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1053659649

Mamawah Isata Bourque, P.T.'s National Provider Identifier is 1053659649, issued on Jan 16, 2013. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Dallas, TX. The record was last updated on Jan 16, 2013.